Release Date: 2023-09-14

Diagnosis and Management of Urinary Tract Infections in Diabetic Patients

Nazlim Aktug Demir (Author), Onur Ural (Author), Hatice Esranur Kiratli (Author)

Release Date: 2023-09-14

Urinary tract infections (UTIs) are a common concern in diabetic patients due to factors such as impaired immune function, altered urinary tract anatomy, and higher glucose levels in urine that promote bacterial growth. Diagnosis of UTIs in diabetic patients involves typical symptoms like dysuria, frequency, urgency, and flank pain, along with clinical examination and urine [...]

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Work TypeBook Chapter
Published inCurrent Perspective on Diabetes Mellitus in Clinical Sciences
First Page161
Last Page172
DOIhttps://doi.org/10.69860/nobel.9786053359111.14
ISBN978-605-335-911-1 (PDF)
LanguageENG
Page Count12
Copyright HolderNobel Tıp Kitabevleri
Licensehttps://nobelpub.com/publish-with-us/copyright-and-licensing

Urinary tract infections (UTIs) are a common concern in diabetic patients due to factors such as impaired immune function, altered urinary tract anatomy, and higher glucose levels in urine that promote bacterial growth. Diagnosis of UTIs in diabetic patients involves typical symptoms like dysuria, frequency, urgency, and flank pain, along with clinical examination and urine analysis revealing leukocyturia and bacteriuria. Management typically includes appropriate antibiotic therapy based on urine culture and susceptibility results, taking into account local resistance patterns and patient factors. Empirical therapy may be initiated promptly while awaiting culture results in symptomatic patients. Diabetes-specific considerations include ensuring glycemic control, as hyperglycemia can exacerbate susceptibility to infections. Preventive strategies include patient education on proper hygiene, adequate fluid intake, and regular monitoring for UTI symptoms. In complicated cases or recurrent infections, further evaluation for structural abnormalities or urologic conditions should be considered. Collaborative care involving primary care physicians, endocrinologists, and infectious disease specialists is crucial for optimizing management and reducing the risk of complications in diabetic patients with UTIs.

Hatice Esranur Kiratli (Author)
Selcuk University
https://orcid.org/0000-0001-5094-1026

Nazlim Aktug Demir (Author)
Professor, Selcuk University
https://orcid.org/0000-0002-4703-0827

Onur Ural (Author)
Professor, Selcuk University
https://orcid.org/0000-0003-1355-7572

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