Frecuencia de infección de vías urinarias complicadas en pacientes diabéticos tipo2 como causa de ingreso al servicio de urgencias en el hospital general de subzona/ UMF no.3 Chilpancingo, Gro.

Abstract

Complicated UTIs associated with diabetes include renal and perirenalabscesses, emphysematous pyelonephritis and cystitis, fungal infections, xanthogranulomatous pyelonephritis and renal papillary necrosis. Material and methods: A non experimental, retrospective and cross-sectional study was conducted, where patients with T2D with clinical suspicion or diagnosis of complicated urinary tract infection will be described. 107 records of patients with T2D were identified. Glycemic control was present in 39.3% (n=42). Suspected UTI in 92.52%, bacteriuria in 67.3% (n=72), leukocytes in 40.2% (n=43) and pyuria in 21.5% (n=23), with UTI confirmed in 69.16% (n=749). Results: Complicated UTI cases were 27 (25.23%), emphysematous pyelonephritis (8.4%), emphysematous cystitis and sepsis with 6.5% and 5.6%, these occurred in 23.36% (n=25) patients without glycemic control and 1.87% (n=2) with glycemic control (OR 6.75, 95% CI 1.74 ¿ 26.07, p<0.001). Discussion and conclusion: The prevalence in female sex 65.3%, bacteriuria increased 2.1 times for each decade of T2D. The lack of glycemic control was associated with a 6-fold increase in the probability of complicated UTI.