The most frequent infectious complications in diabetic patients and their treatment

Česká verzia

Authors: Silvester Krčméry; Silvia Semanová; Marián Štrbák; Dominika Kocunová; Iveta Kováčová
Authors place of work: II. klinika geriatrie LFUK a UNsP Milosrdní bratia, Bratislava, prednosta doc. MUDr. Silvester Krčméry, CSc.
Published in the journal: Forum Diab 2015; 4(3): 181-183
Category: Main Theme: Review

Summary

Infections in patients with diabetes mellitus occur more frequently and their course is more serious. Sensitivity is increased by immunity functions disorders, glycosuria, blood supply disorders in the region of adrenal medulla and papillae, as well as by the loss of renal functions in consequence of diabetic nephropathy. The acute pyelonephritis is more frequently complicated in diabetic patients with urosepsis, renal abscess and papillary necrosis. Infectious diseases are also a frequent cause of metabolic decompensation of diabetes, hyperosmolar and ketoacidotic coma. With regard to the accumulation of the above described and further complicating factors, it is needed to also treat asymptomatic bacteriuria in diabetic patients (almost general consensus of opinion).

Key words:
dermatological infections – gastrointestinal infections – hepatobiliary infections – respiratory tract infections – urogenital infections

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