Julka Sandeep
Director Endocrinology, Synergy Multispeciality Hospital, Indore, Madhya Pradesh, India.
Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S83-7. doi: 10.4103/2230-8210.119512.
Diabetes is known to increase the risk of infection and the commonest amongst them are the ones involving the genitourinary tract. The infections in a diabetic patient are unique in that they are recurrent, more severe, requiring hospitalization, and also have higher mortality than nondiabetics. Some infections are exclusively found in diabetics like the emphysematous pyelonephritis while others have their natural history complicated due to hyperglycemia. Asymptomatic bacteriuria may lead to albuminuria and urinary tract infection and may need to be treated in diabetics. Not just this certain organisms have a predilection for the genitourinary tract of the diabetic patient. All of the above makes the diabetic patient vulnerable to infections and therefore early diagnosis and appropriate treatment is mandatory.
众所周知，糖尿病会增加感染风险，其中最常见的是涉及泌尿生殖道的感染。糖尿病患者的感染具有独特性，即反复发生、更为严重、需要住院治疗，且死亡率也高于非糖尿病患者。有些感染仅见于糖尿病患者，如气肿性肾盂肾炎，而其他感染则因高血糖而使自然病程复杂化。无症状菌尿可能导致蛋白尿和尿路感染，糖尿病患者可能需要进行治疗。不仅如此，某些微生物更容易感染糖尿病患者的泌尿生殖道。上述所有情况都使糖尿病患者易受感染，因此早期诊断和适当治疗必不可少。
