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Articolul urmator |
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Ultima descărcare din IBN: 2024-03-24 08:18 |
SM ISO690:2012 ALEXA, Zinaida, GULCANEAN, Anna. Diabetul zaharat și infecția tractului urinar. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 311. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||
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Background. Urinary tract infection is the most common bacterial infection related to diabetes mellitus. The association of urinary tract infection (UTI) in patients with type 2 diabetes (T2D) will develop severe forms of the disease and different complications, resulting in an increased mortality rate. Objective of the study. To determine the diabetes association with UTI by evaluating the microbial spectrum and antibacterial treatment, with the following elaboration of recommendations for optimizing the therapeutic management. Material and Methods. The study is retrospective, performed on a group of patients with T2D hospitalized in 2019 in the endocrinology department of SCR «Timofei Mosneaga». The data on their clinical characteristics, age, duration of diabetes, level of bacteriuria, leukocyturia, blood glucose, HbA1c, urine culture and antibioticogram results were collected. Results. The study involved a total of 1214 participants, 26.52% patients were detected with bacteriuria. UTI was diagnosed in 7.7% (94) of patients with T2D. In 67% of cases patients had decompensated diabetes. E. coli was the most common isolated uropathogen - 54.55%, followed by Kl. Pneumoniae 17.17% and E. faecalis - 9.09%. The most effective antibiotics on E. coli were determined to be Nitrofurantoin in 96.9%, Nitroxolin 96.6% and Ciprofloxacin 87.8%. Conclusion. The study revealed that E. coli was the most common detected UTI pathogen in patients with T2D, and it is recommended to initiate the empirical antibacterial treatment with Nitroxoline, Nitrofurantoin or Ciprofloxacin. |
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Cuvinte-cheie diabetes mellitus, urinary tract infection, T2D, UTIs, diabet zaharat, infecția tractului urinar |
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