Urinary tract infections in patients with diabetes. Part 2

Authors

  • María Florencia Aranguren José de San Martín Clinical Hospital; Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • Bárbara Arinovich Faculty of Medicine, University of Buenos Aires, City of Buenos Aires, Argentina
  • Teresa Bensusan Medical and Diabetes Clinic, Cepem Medical Center, Morón, Province of Buenos Aires, Argentina
  • Guillermo DŽMarziani Nephrology and Diabetes, Center for Renal Diseases and Arterial Hypertension (CEREHA S.A.), Sarandí, Province of Buenos Aires, Argentina
  • Gabriela Medek Polyclinic Bank, La Plata, Province of Buenos Aires, Argentina
  • Estrella Menéndez Norberto Quirno Medical Education and Clinical Research Center (CEMIC); Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina
  • María José Pomares Penna Hospital; Offices of the Center for Renal Diseases and Hypertension, Autonomous City of Buenos Aires, Argentina
  • María Jimena Soutelo Department of Hydrocarbon and Lipid Metabolism of the Argentine Society of Endocrinology and Metabolism, Autonomous City of Buenos Aires, Argentina
  • Fabiana Vázquez British Hospital, Vicente Lopéz headquarters, Province of Buenos Aires, Argentina
  • Gloria Viñes Private Community Hospital, Mar del Plata, Province of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v53i2.155

Keywords:

diabetes, urinary tract infection, bacteriuria, chronic renal disease

Abstract

Urinary tract infections (UTIs) are frequent in daily medical practice. There are pathogenic factors that modulate the risk of their onset depending on the responsible germ and host. Diabetes mellitus is a predisposing factor for developing urinary infections. The longest duration of diabetes, albuminuria and neuropathy with less bladder emptying are mentioned as risk factors for these infections, being controversial the presence of glycosuria. Depending on their location in the urinary tract, infections can be lower and upper tract infections, and according to severity, complicated or not. Asymptomatic bacteriuria, detected by routine urinalysis, is more frequent in women with diabetes. The choice of the antibiotic scheme in urinary tract infections is based on the severity of the infection, history of resistant microorganisms and sensitivity in the antibiogram, adjusting the dose according to the degree of renal insufficiency.

Author Biographies

María Florencia Aranguren, José de San Martín Clinical Hospital; Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Internal Medicine Specialist, specializing in Diabetes; Hospital de Clínicas José de San Martín; Member of the Nephropathy Committee of the Argentine Diabetes Society

Bárbara Arinovich, Faculty of Medicine, University of Buenos Aires, City of Buenos Aires, Argentina

Medical specialist in internal medicine and nutrition

Teresa Bensusan, Medical and Diabetes Clinic, Cepem Medical Center, Morón, Province of Buenos Aires, Argentina

Medical Doctor specialist in Medical and Diabetes Clinic

Guillermo DŽMarziani, Nephrology and Diabetes, Center for Renal Diseases and Arterial Hypertension (CEREHA S.A.), Sarandí, Province of Buenos Aires, Argentina

Medical specialist in Internal Medicine, specialist in Nephrology and Magister in Diabetes

Gabriela Medek, Polyclinic Bank, La Plata, Province of Buenos Aires, Argentina

Servicio de Diabetes y Nutrición

Estrella Menéndez, Norberto Quirno Medical Education and Clinical Research Center (CEMIC); Argentine Diabetes Society, Autonomous City of Buenos Aires, Argentina

Nutrition and Diabetes Service of the Norberto Quirno Medical Education and Clinical Research Center (CEMIC); Graduate School of Diabetes (Argentine Diabetes Society)

María José Pomares, Penna Hospital; Offices of the Center for Renal Diseases and Hypertension, Autonomous City of Buenos Aires, Argentina

Medical Specialist in Nephrology and specialized in diabetes

María Jimena Soutelo, Department of Hydrocarbon and Lipid Metabolism of the Argentine Society of Endocrinology and Metabolism, Autonomous City of Buenos Aires, Argentina

Medical specialist in Endocrinology

Fabiana Vázquez, British Hospital, Vicente Lopéz headquarters, Province of Buenos Aires, Argentina

Medical specialist in Nutrition, specialist in Diabetes, Endocrinology Service British Hospital, Vicente Lopéz Headquarters

Gloria Viñes, Private Community Hospital, Mar del Plata, Province of Buenos Aires, Argentina

Medical Nutrition Specialist specialized in Diabetes; Head of the Nutrition and Diabetes Service of the Private Community Hospital

Published

2023-01-10

How to Cite

Aranguren, M. F., Arinovich, B., Bensusan, T., DŽMarziani, G., Medek, G., Menéndez, E., Pomares, M. J., Soutelo, M. J., Vázquez, F., & Viñes, G. (2023). Urinary tract infections in patients with diabetes. Part 2. Journal of the Argentine Society of Diabetes, 53(2), 76–77. https://doi.org/10.47196/diab.v53i2.155

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