Effect of diabetes on occurrence of urinary tract infection and asymptomatic bacteriuria among diabetic and ketacidosis patients in Egypt

Adly, Nermien Naim; Ragab, Yasser; Hashem, Anas; Ahmady, Abolfazl

doi:10.14303/irjm.2015.139

Cited by 2 publications

(3 citation statements)

References 38 publications

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“…In a similar study, the mean duration of diabetes and mean HBA1c levels were significantly higher in ASB positive as compared with ASB-negative patients. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic bacteriuria among the patients of type 2 diabetes mellitus

Bharti

Chawla

Kumar

et al. 2019

J Family Med Prim Care

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Background:Asymptomatic bacteriuria (ASB) is common in neonates, preschool children, pregnant women, elderly, diabetics, catheterized patients, and patients with abnormal urinary tracts or renal diseases. Though there is currently no consensus on treatment of ASB in various population groups, it is advisable to treat the same in patients with diabetes mellitus (DM).Aims:To determine the prevalence of ASB in patients with type 2 DM and to study the spectrum of uro-pathogens causing ASB along with their antibiotic susceptibility profile.Settings and Design:This prospective, observational study was conducted in the department of Medicine of a tertiary care teaching hospital.Methods:The study was conducted on 100 patients with type 2 DM. Urine wet mount and gram stain examination was done for all to detect the presence of pus cells and bacteria in urine. Antibiotic sensitivity testing was performed in patients with significant bacteriuria to determine the sensitivity profile of isolated uro-pathogens. The data were analyzed to determine the association between diabetes and ASB.Results:ASB was common among diabetics, as evident by a prevalence of 21%. Presence of ASB showed positive correlation with poor glycemic control. Escherichia coli (E. coli) was the most common organism causing ASB followed by Candida, Pseudomonas, Klebsiella, and Citrobacter. E. coli isolated from study patients was most sensitive to imipenem and nitrofurantoin (NFT).Conclusions:ASB is common among diabetics, with poor glycemic control being a significant risk factor. E. coli is the most common organism causing ASB in diabetics, and it is most sensitive to imipenem and NFT.

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“…In a similar study, the mean duration of diabetes and mean HBA1c levels were significantly higher in ASB positive as compared with ASB-negative patients. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic bacteriuria among the patients of type 2 diabetes mellitus

Bharti

Chawla

Kumar

et al. 2019

J Family Med Prim Care

View full text Add to dashboard Cite

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“…This prevalence is going on with other studies done in Egypt and showed also high prevalence of UTI among diabetic patients. [14], [19] Patients with diabetes have a 10-fold increased risk of UTI when compared to non-diabetics in a previous study [20]. Prevalence of UTIs infection and asymptomatic bacteriuria in diabetic patients ranges from 11% to 68 % in some of international studies [21], [22].…”

Section: Discussionmentioning

confidence: 99%

“…Another study has found that 64.2% of T1DM patients had positive urine culture with bacteriuria and pyuria, and 77.7% of T2DM patients had positive urine culture and pyuria. The study revealed that Escherichia coli was the most common isolated uropathogen [19].…”

Section: Discussionmentioning

confidence: 99%

Urinary Tract Infection: Prevalence, Risk Factors, Bacterial Etiologies and Antimicrobial Resistance Profile among Egyptian Diabetic Patients

Desouky

Gabr

Elhelbawy

et al. 2020

EJMED

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Diabetic patients are more prone to infections due to impaired immune status. One of most frequent infections in diabetic patients are urinary tract infection (UTI). The aim of the work was to study the prevalence and associated risk factors of UTI among diabetic patients attending the outpatient clinics of Menoufia university hospital, and to assess the pattern of antimicrobial sensitivity of isolated organisms. A pre-designed questionnaire was used to collect information about age, sex and residence, smoking habits, and type and duration of diabetes. Laboratory investigations including blood analysis for glucose level, HBA1c, leucocytic count, urine culture and antimicrobial sensitivity testing were done. The prevalence of UTI was 51.3%, and the most significant risk factors associated with infection were older age, being female, BMI > 30, duration of diabetes > 10 years, together with uncontrolled diabetes. Residence, smoking, and type of diabetes were found to be insignificantly associated with UTI. Age, duration of diabetes, and HBA1c were found to be independently associated with UTI. Common isolated organisms in order of frequency were E. coli, Klebsiella, and Coagulase negative staph. More than 50% of isolates were resistant to one or more antibiotic on antimicrobial antibiotic sensitivity testing. The study concluded a high prevalence of UTI among studied patients. Proper control of diabetes with regular screening for HBA1c and UTI among diabetic patients is needed.

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Effect of diabetes on occurrence of urinary tract infection and asymptomatic bacteriuria among diabetic and ketacidosis patients in Egypt

Cited by 2 publications

References 38 publications

Asymptomatic bacteriuria among the patients of type 2 diabetes mellitus

Asymptomatic bacteriuria among the patients of type 2 diabetes mellitus

Urinary Tract Infection: Prevalence, Risk Factors, Bacterial Etiologies and Antimicrobial Resistance Profile among Egyptian Diabetic Patients

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