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Urinary tract infection in diabetic patients
Ramen Kr. Baishya, A Mathew, DR Dhawan, MR Desai
Department of Urology, Muljibhai Patel Urological Hospital, Nadiad - 387 001, Gujarat, India
| Date of Web Publication | 1-Dec-2010 |
Correspondence Address:
M R Desai
Medical Director, Department of Urology, Muljibhai Patel Urological Hospital, Nadiad - 387 001, Gujarat
India
DOI: 10.4103/0971-4065.73429 PMID: 21206689
How to cite this article:
Baishya R, Mathew A, Dhawan D R, Desai M R. Urinary tract infection in diabetic patients. Indian J Nephrol 2010;20:222 |
Sir,
We read the article "Prevalence of lower urinary tract infection in South Indian type 2 diabetic subjects" by Janifer et al. with great interest. Diabetic patients with urinary tract infection is a common scenario in the nephrourology outpatient department. Treating them is a real challenge. [1] Here, we would like to highlight few important points. Firstly, fungal urinary tract infection in diabetic patients might be asymptomatic and should be sought in every diabetic patient with urinary tract infection. [2] Secondly, we feel that ultrasound-guided suprapubic aspiration of urine is useful in those patients with repeated contamination in urine culture report. [3] Thirdly, we believe that a minimum of 2 weeks of antibiotic therapy is necessary as eradication of the organism in diabetic patients is difficult. Improper duration of antibiotic will encourage resistance. [4] Fourthly, circumcision might be beneficial, especially in those patients who cannot maintain personal hygiene. We would like to know the author's views regarding these points.
| References | |  |
| 1. | Bonadio M, Meini M, Gigli C, Longo B, Vigna A. Urinary tract infection in diabetic patients. Urol Int 1999;63:215-9. 
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| 2. | Krcmery S, Dubrava M, Krcmery V Jr. Fungal urinary tract infections in patients at risk. Int J Antimicrob Agents 1999;11:289-91.
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| 3. | Titus MO, White SJ. Suprapubic bladder tap aspiration in an elderly female. J Emerg Med 2006;30:421-3.
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| 4. | Geerlings SE. Urinary tract infections in patients with diabetes mellitus: epidemiology, pathogenesis and treatment. Int J Antimicrob Agents 2008;31:S54-7.
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