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Bacterial and Fungal Infections in Diabetic Patients: Patterns, Resistance, and Implications for Antimicrobial Stewardship in Nigeria (www.kiu.ac.ug)

Diabetic patients in Nigeria are disproportionately affected by bacterial and fungal infections, with hyperglycemia, immune dysfunction, and comorbidities increasing susceptibility and complicating clinical outcomes. Common pathogens include Staphylococcus aureus, Escherichia coli, Klebsiella spp., Pseudomonas aeruginosa, and Candida spp., with rising rates of multidrug-resistant organisms such as MRSA, ESBL-producing Gram-negative bacteria, and azole-resistant fungi. These resistance patterns challenge empirical therapy, prolong hospital stays, increase morbidity and mortality, and escalate h…