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LETTER TO EDITOR
Year : 2010  |  Volume : 20  |  Issue : 4  |  Page : 222
 

Urinary tract infection in diabetic patients


Department of Urology, Muljibhai Patel Urological Hospital, Nadiad - 387 001, Gujarat, India

Date of Web Publication1-Dec-2010

Correspondence Address:
M R Desai
Medical Director, Department of Urology, Muljibhai Patel Urological Hospital, Nadiad - 387 001, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.73429

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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

How to cite this URL:
Baishya R, Mathew A, Dhawan D R, Desai M R. Urinary tract infection in diabetic patients. Indian J Nephrol [serial online] 2010 [cited 2021 Jan 16];20:222. Available from: https://www.indianjnephrol.org/text.asp?2010/20/4/222/73429


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 Top

1.Bonadio M, Meini M, Gigli C, Longo B, Vigna A. Urinary tract infection in diabetic patients. Urol Int 1999;63:215-9.  Back to cited text no. 1
[PUBMED]  [FULLTEXT]  
2.Krcmery S, Dubrava M, Krcmery V Jr. Fungal urinary tract infections in patients at risk. Int J Antimicrob Agents 1999;11:289-91.   Back to cited text no. 2
[PUBMED]    
3.Titus MO, White SJ. Suprapubic bladder tap aspiration in an elderly female. J Emerg Med 2006;30:421-3.  Back to cited text no. 3
[PUBMED]  [FULLTEXT]  
4.Geerlings SE. Urinary tract infections in patients with diabetes mellitus: epidemiology, pathogenesis and treatment. Int J Antimicrob Agents 2008;31:S54-7.  Back to cited text no. 4
[PUBMED]  [FULLTEXT]  



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