ECE2018 Poster Presentations: Diabetes, Obesity and Metabolism Diabetes complications (72 abstracts)
Septicemia in diabetics in Tunisia: Study of 43 cases
Mouna Elleuch 1 , Rihab Ben Abdallah 2 , Boulbaba Kolsi 1 , Dorra Lahiani 3 , Faten Haj Kacem 1 , Nabila Rekik 1 , Mounir Ben Jemaa 3 & Mohamed Abid 1
1CHU Hedi Chaker Sfax Service Endocrinology Tunisia, Sfax, Tunisia; 2Faculty of Sciences Sfax Tunisia, Sfax, Tunisia; 3Infectious Diseases Service CHU Hedi Chaker Sfax Tunisia, Sfax, TUNISIA, Sfax, Tunisia.
Diabetes is a factor favoring infections. Among which, the sepsis that becomes formidable and serious on this ground. The purpose of our work is to study the clinical, therapeutic and evolutionary features of sepsis in diabetics. A retrospective study of 43 cases of septicemia in diabetic patients collected at the service of Sfax Infectious Diseases. There were 22 men and 21 women, mean age 59 (20–78) years. Community origin was present in 88.4% of cases and nosocomial in 11.6% of cases. urinary symptomatology in 13 cases (30%), digestive in 8 cases (18.6%) and cutaneous in 12 cases (27.9%) The table was severe from the outset (sepsis or shock) in 13 cases. were gram-negative bacilli in 52% (including Escherichia coli in 31.8% of cases) and Gram-positive cocci in 49% (including Staphylococcus aureus in 62% of cases). The portal of entry was certain in 34 case (79%) and probable in 9 cases (21%): urinary (46.5%), cutaneous (39.5%) and endovascular (14%) One or more secondary locations were found in 14 patients (33%): osteo-articular (4 cases), renal (3 cases), pulmonary (3 cases), cutaneous (2 cases), cardiac (1 case) and abdominal (1 case). Treatment was adapted to the isolated germ in 76.7% d The average duration of effective treatment was 22 (10–60) days. The septicemia of the diabetic individualized by their greater frequency compared to the non-diabetic population. The germs in question are gram-negative bacilli as well as gram-positive cocci.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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