Glycemic control and bacterial infectious risk in type 2 diabetes: A retrospective cohort from a primary care database.

Autor: Lemoine E; Department of General Practice, UNIROUEN, Normandie Université, Rouen, France., Dusenne M; Department of Medical Information and Informatics, CHU Rouen, Rouen, France., Schuers M; Department of General Practice, UNIROUEN, Normandie Université, Rouen, France.; Department of Medical Information and Informatics, CHU Rouen, Rouen, France.; Medical Informatics and e-Health Knowledge Engineering Laboratory, INSERM, U1142, LIMICS, Sorbonne University, Paris, France.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Dec 13; Vol. 19 (12), pp. e0314287. Date of Electronic Publication: 2024 Dec 13 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0314287
Abstrakt: Objective: The prevalence of diabetes was estimated at 5.3% of the French population in 2020. People with type 2 diabetes have an increased risk of infection. Currently, there is no consensus on the impact of glycemic control on infectious risk. The objective was to evaluate whether glycemic control and diabetes severity were associated with infectious risk in type 2 diabetes.
Materials and Methods: We designed a multicenter retrospective cohort study using data from a French primary care database. Data were collected from January 2012 to January 2022. Glycemic control was estimated by the threshold of glycated hemoglobin and diabetes severity by the number, and the type, of antidiabetic treatments. Infectious risk was evaluated by the mean of antibiotic prescriptions per year.
Results: Among 59,020 patients, 1959 patients were included in the final analysis. The threshold of glycated hemoglobin was not associated with the mean of antibiotic prescriptions per year (ANOVA p = 0.228). Secondary analyses did not show an association between the number, or the type, of antidiabetic treatments and the mean of antibiotic prescriptions per year (p = 0.53 and p = 0.018, respectively). No association was observed between glycemic control, diabetes severity and infectious risk in patients with type 2 diabetes. This is the first European study using data from primary care to examine bacterial infectious risk in patients with type 2 diabetes, demonstrating the possibilities offered by the use of databases in primary care research.
Conclusion: Long-term glycemic control was not associated with bacterial infectious risk in patients with type 2 diabetes.
Competing Interests: The authors have declared that no competing interests exist
(Copyright: © 2024 Lemoine et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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