Types of infections that predispose patients with diabetes mellitus to diabetic ketoacidosis in FEU-NRMF Medical Center /
Alec Joshua R. Uy.
- Fairview, Quezon City: Department of Internal Medicine, FEU-NRMF, 2021.
- 16 pages; tables; ( in folder) + with flash drive (soft copy).
Includes bibliographical references.
Abstract: A very serious acute life-threatening complication of Uncontrolled Diabetes that we need to be vigilant for is vigilant for is Diabetic Ketoacidosis (DKA). Infection is a well-recognized trigger of DKA, as several aspects of immunity are altered in diabetic patients. There has been paucity in research involving DKA in the local setting as the latest studies that assessed risk factors for DKA dated way back late 1990s. This study aims to revealed the various types of infection that serve as the impetus for Diabetic patients to have Ketoacidosis in adults at a Tertiary Hospital in the Philippines. This is a descriptive study that employed retrospective chart review. This study included 80 patients diagnosed with Diabetic Ketoacidosis admitted at FEU-NRMF Medical Center from January 2007 to June 2021. 70 of the DKA cases were triggered clinically documented infections, and the remaining 10 were both clinically documented and microbiologically detected. Majority of the infections were of the Urinary Tract, followed by infections of the Respiratory Tract, then subsequently by GI Infections. Other infections included Gynecologic infections, Skin/soft tissue infections, and ENT infections. Infection is a common trigger of Diabetic Ketoacidosis, and if left unchecked, may cause significant adverse effects to these patients. This study highlighted the importance of checking the urinalysis, chest x-ray and culture studies of patients suspected or confirmed to be suffering from Diabetic Ketoacidosis to detect or rule out the most common triggering infections.