Invasive Group A Streptococcal Infections in Indigenous New Zealanders With Type 2 Diabetes TO THE EDITOR—We read with great inter- est the article by Langley et al, which highlights the potential contribution of diabetes and obesity to adverse outcomes 1268 � CID 2016:63 (1 November) � CORRESPONDENCE Table 1. Characteristics of Patients With Invasive Group A Streptococcal Infections With and antimicrobial therapy in obese patients, we Without Type 2 Diabetes Mellitus (N = 2457) also believe these interventions are at the “ﬁre-ﬁghting” end of the public health T2DM No T2DM Relative Risk spectrum. In New Zealand, as in other set- Characteristic Recorded Recorded P Value (95% CI) tings, concerted efforts should be made to Age, y, median (IQR) 64 (56–75) 45 (20–71) <.01 . . . tackle the “obesity and diabetes tsunami” Male, No. (%) 272 (57) 969 (49) .013 . . . Ethnicity , No. (%) , which may ultimately reduce the over- European 134 (28) 936 (48) <.01 Reference all burden and mortality of infectious Ma¯ori 177 (37) 498 (25) 2.5 (1.9–3.2) diseases. Pacific 150 (32) 451 (23) 2.3 (1.8–3.0) Length of stay, d, median (IQR) 8.5 (5–17) 6 (3–12) <.01 Note 30-day mortality, No. (%) 80
Clinical Infectious Diseases – Oxford University Press
Published: Nov 1, 2016
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