Aim of this study was to determine bacteriological pattern and there antibiotic sensitivity in UTI. The retrospective study carried out in department of internal medicine of BIRDEM on 300 consecutive patients with or without Diabetes Mellitus and whose urine culture shows growth of >105 organism/ml of urine, during the period from January 2006 to July 2007.A total of 300 patients were included in the study. The highest number of isolates was E.coli (62%,184) followed by Klebsiella (17%,50),Pseudomonas(6%,19), Enterococcus(8%, 23), Staphylococcus (3%, 10), Proteus (1%, 4) respectively in patient with DM(N-261) or without DM(N-39).All of these isolates were highly sensitive to Imipenem(96%) while some were high to moderate sensitive to other antibiotics. E.coli isolates showed high sensitivity to Aminoglycosides (72%, 133), Nitrofurantoin (70%, 129), and third generation Cephalosporin (61%, 112). Klebsiella was observed highly sensitive to third generation Cephalosporin (29%, 58) AND Nitrofurantoin (30%, 60). Â DOI = 10.3329/jom.v8i1.1373 J MEDICINE 2007; 8 : 10-13
Recent studies suggest that there is strong relationship between serum magnesium and diabetes. Low serum magnesium is one of the risk factors of diabetes mellitus and its complications, at the same time diabetes is one of the common causes of hypomagnesemia. Hypokalemia is also quite common in diabetic patient. When hypokalemia coexists with hypomagnesemia, the chance of ‘complications of hypokalemia' increase significantly. In addition, the correction of hypokalemia becomes difficult. However, the exact frequency of hypomagnesemia in diabetic hypokalemic patient is not yet defined. Therefore, the objective of the current study was to find out the frequency of hypomagnesemia in hospitalized diabetic hypokalemic patient. Thirty consecutive diabetic patients with hypokalemia admitted under medical unit 1 BIRDEM were included in this study. There were 20 Female; and 10 male, mean age was 52.33±12.97 years, duration of diabetes was 1 - 20 years, mean serum potassium was 2.37± .36m mol/l, The mean ± SD of serum magnesium was 0.67 ±0.26 m mol/l. Hypomagnesemia was present in 19 patients (63.3%). Fifteen normokalemic diabetic patients were taken as control. Only one subject had Hypomagnesemia in control. Sample mean of serum magnesium has been found significantly lower than general population (P=.001) and control (P=.034) Key words: Hypokalemia, hypomagnesemia, diabetes, frequency DOI: 10.3329/jbcps.v26i1.4227 J Bangladesh Coll Phys Surg 2008; 26: 10-13
Objectives:The objective of this study was to assess the incidence of hypoglycemia in patients with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) in Bangladeshi cohort of the International Operations-Hypoglycemia Assessment Tool study.Materials and Methods:Patients diagnosed with either T1DM or T2DM, aged ≥18 years, treated with insulin (any regimen) for >12 months, and completed self-assessment questionnaires (SAQs) to record demography, treatment information, and hypoglycemia during the 6-month retrospective and 4-week prospective periods (a total of 7 months) were enrolled in the study.Results:A total of 1179 patients were enrolled and completed the SAQ1 (T1DM, n = 25; T2DM, n = 1154). Almost all patients (T1DM: 100.0% [95% confidence interval (CI): 86.3%, 100.0%] and T2DM: 97.0% [95% CI: 95.9%, 97.9%]) experienced at least 1 hypoglycemic event prospectively. The estimated rates of any and severe hypoglycemia were 26.6 (95% CI: 19.8, 35.0) and 14.1 (95% CI: 9.3, 20.4) events per patient-per year (PPY), respectively, for patients with T1DM and 18.3 (95% CI: 17.4, 19.2) and 12.1 (95% CI: 11.4, 12.9) events PPY, respectively, for patients with T2DM during the prospective period. At baseline, mean glycated hemoglobin (HbA1c) (±standard deviation) was 8.1 (±1.8%) for T1DM and 8.8 (±1.8%) for T2DM. Hypoglycemic rate was independent of HbA1c levels and types of insulin.Conclusions:This is the first patient dataset of self-reported hypoglycemia in Bangladesh; results confirm that hypoglycemia is underreported.
Enteric fever commonly causes fatality from abdominal complications or toxemia but it can also cause death from complications of myocarditis albeit rarely. In September, 2005 a 22 year old man was admitted in BIRDEM with the features of pneumonia. Later on, the patient developed acute left ventricular failure and ultimately diagnosed as a case of drug resistant enteric fever with myocarditis Ibrahim Med. Coll.
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