Peo­ple with di­a­betes face in­creased risk of in­fec­tions – Re­port

Sunday Trust - - NEWS HEALTH - Source:www.sci­

Di­a­betes pa­tients have an in­creased risk of suf­fer­ing se­ri­ous in­fec­tions or death com­pared to the gen­eral pub­lic, new re­search has shown.

The study an­a­lysed the elec­tronic GP and hos­pi­tal records of more than 100,000 English adults aged 40 to 89 years with a di­a­betes di­ag­no­sis, and com­pared them to those without a di­a­betes di­ag­no­sis.

The re­searchers es­ti­mated that 6% of in­fec­tion-re­lated hos­pi­tal ad­mis­sions, such as for pneu­mo­nia, and 12% of in­fec­tion­re­lated deaths among adults could be at­tributed to di­a­betes.

Dr Iain Carey, of the Pop­u­la­tion Health Re­search In­sti­tute, at St Ge­orge’s, Univer­sity of Lon­don, said: “We have con­firmed that peo­ple with di­a­betes are more prone to all in­fec­tions, par­tic­u­larly se­ri­ous in­fec­tions like bone and joint in­fec­tions, en­do­cardi­tis and sep­sis.

“We have also shown that in­fec­tions among peo­ple with di­a­betes cause sub­stan­tial ill-health and need for NHS treat­ment.

“De­spite this, cur­rent NHS guid­ance for Type 2 di­a­betes does not specif­i­cally men­tion in­fec­tions or rec­om­mend ways to re­duce this prob­lem.

“Bet­ter man­age­ment of di­a­betes pa­tients, through im­prove­ments in con­trol of their blood sugar lev­els for ex­am­ple, or more rapid recog­ni­tion of in­fec­tions by pa­tients and car­ers, may help pre­vent fu­ture in­fec­tions.”

The large size of the study en­abled the re­searchers to show that di­a­betes pa­tients with the less com­mon Type 1 di­ag­no­sis were at even greater risk of be­ing hos­pi­talised and dy­ing from in­fec­tion.

Over a seven year pe­riod, pa­tients with Type 2 di­a­betes were twice as likely to be hos­pi­talised with an in­fec­tion as pa­tients without di­a­betes; for Type 1 di­a­betes this dif­fer­ence was nearly four times.

The study also in­ves­ti­gated more com­mon in­fec­tions seen by GPs, and found that skin in­fec­tions such as cel­luli­tis were twice as com­mon in pa­tients with di­a­betes.

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