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The British Journal of Diabetes & Vascular Disease
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Diversity and complexity of urinary tract infection in diabetes mellitus

Lukman M Hakeem

Department of Infectious Diseases, Victoria Hospital, Kirkcaldy, Fife, UK, lukman.hakeem{at}faht.scot.nhs.uk

Diptendu N Bhattacharyya

Department of Infectious Diseases, Victoria Hospital, Kirkcaldy, Fife, UK

Cyril Lafong

Department of Microbiology, Victoria Hospital, Kirkcaldy, Fife, UK

Khalid S Janjua

Department of Urology, Victoria Hospital, Kirkcaldy, Fife, UK

Jonathan T Serhan

Department of Radiology, Victoria Hospital, Kirkcaldy, Fife, UK

Ian W Campbell

Diabetes Centre, Victoria Hospital, Kirkcaldy, Fife, UK

Urinary tract infections (UTIs) are a common burden in patients with diabetes mellitus. Cystitis, ascending infections leading to pyelonephritis, emphysematous complications and renal and perinephric abscesses are well recognised in this group of patients especially if glycaemic control is poor. Despite the clinical significance of UTI in diabetes, it is inadequately understood and management regimens are mostly not evidence based. Anticipation of potential complications and earlier interventions are vital to reduce serious adverse outcomes. Herein we discuss the aetiology, pathogenesis and management of UTI and its local and more remote complications.

Key Words: aetiology • complications • diabetes • investigations • management • pathogenesis • UTI

The British Journal of Diabetes & Vascular Disease, Vol. 9, No. 3, 119-125 (2009)
DOI: 10.1177/1474651409105654
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