BACTERIAL URINARY-TRACT INFECTIONS IN DIABETES

Urinary tract infection is a significant problem in diabetes mellitus. The pathogenesis and management of bacteriuria and uncomplicated urin ary tract infections are reviewed in this article. Upper tract infecti on is more common in diabetic patients; special considerations regardi ng pyelonephritis in the diabetic patient are covered. Complicated upp er tract infections, such as intrarenal abscess, urinary tract emphyse ma, perinephric abscess, papillary necrosis, and metastatic infection from the urinary tract are frequently seen in diabetics. The pathogene sis and management of these entities in the setting of diabetes mellit us are also reviewed in this article.