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Indian J Nephrol. 2010 October; 20(4): 222.
PMCID: PMC3008956

Urinary tract infection in diabetic patients

Sir,

We read the article “Prevalence of lower urinary tract infection in South Indian type 2 diabetic subjects” by Janifer et al. with great interest. Diabetic patients with urinary tract infection is a common scenario in the nephrourology outpatient department. Treating them is a real challenge.[1] Here, we would like to highlight few important points. Firstly, fungal urinary tract infection in diabetic patients might be asymptomatic and should be sought in every diabetic patient with urinary tract infection.[2] Secondly, we feel that ultrasound-guided suprapubic aspiration of urine is useful in those patients with repeated contamination in urine culture report.[3] Thirdly, we believe that a minimum of 2 weeks of antibiotic therapy is necessary as eradication of the organism in diabetic patients is difficult. Improper duration of antibiotic will encourage resistance.[4] Fourthly, circumcision might be beneficial, especially in those patients who cannot maintain personal hygiene. We would like to know the author’s views regarding these points.

References

1. Bonadio M, Meini M, Gigli C, Longo B, Vigna A. Urinary tract infection in diabetic patients. Urol Int. 1999;63:215–9. [PubMed]
2. Krcmery S, Dubrava M, Krcmery V., Jr Fungal urinary tract infections in patients at risk. Int J Antimicrob Agents. 1999;11:289–91. [PubMed]
3. Titus MO, White SJ. Suprapubic bladder tap aspiration in an elderly female. J Emerg Med. 2006;30:421–3. [PubMed]
4. Geerlings SE. Urinary tract infections in patients with diabetes mellitus: epidemiology, pathogenesis and treatment. Int J Antimicrob Agents. 2008;31:S54–7. [PubMed]

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