Article Type: Original Article
Title: Clinical Profile and Risk Assessment of Infections Among Diabetics in a Community Health Hospital in Chennai: A Hospital Based Descriptive and Cross-Sectional Study
Year: 2021; Volume: 1; Issue: 2; Page No: 10 – 18
Authors: Shalini Kaliaperumal1 , Ezhilan Naganathan2, Betty Chacko3
Affiliations: 1, 2, 3 Department of Medicine, CSI Kalyani Multi-Speciality Hospital, Chennai, Tamil Nadu, India.
Article Summary: Submitted: 04-October-2021; Revised: 15-November-2021; Accepted: 23-December-2021; Published : 31-December-2021
Background: Incidence of diabetes mellitus continues to rise, common focus areas for diabetes control are blood glucose levels, diet, and exercise. Controlling these factors are essential for a better quality of life in diabetes patients. Patients with diabetes have an increased risk of asymptomatic bacteriuria and pyuria, cystitis, and, more important, serious upper urinary tract infection.
Materials and Methods: This was a hospital based descriptive and cross-sectional study which included 250 Study subjects who were admitted in CSI Kalyani General hospital during the period from July 2017 to July 2018 and who has Diabetic as a comorbidity were interviewed using structured protocol based proforma. Patient underwent routine clinical, pathological and biochemical investigations.
Results: In this study, 250 in-patients were included and analyzed. The prevalence of Infection in Diabetes mellitus was 65.6%. There is no significant association between Age, Education, Occupation, HbA1C, Duration and type of treatment and biochemical values. The commonest organism in Urine sample among the study group was E.coli followed by Klebsiella. UTI is more common in females, Respiratory infection is more common in males and it is statistically significant (p<0.009) and it is statistically significant (p<0.007).
Conclusion: From this study, we have concluded that patient with diabetes mellitus is at increased risk for common infections due to poor glycemic control and Obesity. Poor glycemic control suppresses the immunity and more prone for infection. Therefore, the challenges will be to attain good glycemic control, change in lifestyle to maintain normal BMI. This will prevent the morbimortality, reduce the long-term complication and maintenance to prolong the life without any sequele. More prospective case control studies on the management of infections in DM patients are needed.
Keywords: type 2 diabetes mellitus, infections, clinical profile, hba1c, glycemic control
Source of funding: We didn’t get any types of financial support from any financial organization
Conflict of Interest: The authors declared no conflict of interest
Dr. Shalini Kaliaperumal,
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