DIABETES MELLITUS AND INFECTIONS
Weng Xin-hua, et al. Department of Infectious Diseases, Huashan Hospital, Shanghai Medical University
Six hundred forty-four patients of diabetes mellitus admitted to the Huashan Hospital from July 1976 to December 1988 were analysed. Among them 237 were complicated by infections. The incidence was 36.8 percent. The most common focus of infection was the respiratory tract followed by urinary and biliary tracts and tuberculosis, etc. The most responsible pathogens were gram-negative bacilli (73.5%), among which Klebsiella pneumoniae and Escherichia coli were the most frequently occurred, and the next microorganisms were Pseudomonas aeruginosa, staphylococci and Acinetobecter anitratum, etc. With the logistic regression model analysis it was found that the significant risk factors for the development of infections in diabetes mellitus were operation, blood glucose over 250 mg/dl, positive blood ketone and over 60 years of age.