Prevalence of Asymptomatic Bacteriuria among Diabetic Women

Abstract

Introduction: Urinary tract infections (UTIs) are among the most common bacterial infections and frequently recurring problems among diabetic patients. The approach to these infections remains a difficult and sometimes controversial issue, especially in asymptomatic and symptomatic bacteruria. The objectives of this study were to determine the incidence of ASB in diabetic patients considering age, duration, glycemic control and changing pattern of uropathogens..

Study Design: Random Sampling of urine was done to observe the prevalence of ASB in diabetic women. A well-structured questionnaire was administered to each patient to obtain her demographic data, diabetic history, associated medical/surgical conditions and detailed urinary symptoms. Place and Duration of Study: Study was done in the Central Zone of India (Madhya Pradesh) in Jabalpur City .Urine samples were collected between Feb2012 to April2012 from CHL Apollo Hospital and Marble City Hospital.

Methods: Urine cultures and urine analysis were performed on 123 urine specimens collected from diabetic patients. Quantitative bacteriologic cultures, identification of isolates were performed by standard methods.

Results: Only 50 urine samples were positive with a significant colony count. Ratio of Asymptomatic Bacteriuria and Symptomatic Bacteriuria was 38: 12. Escherichia coli was the predominant uropathogen (18.91%) isolated followed by Candida spp. (13.51%) Klebsiella spp(5.40), Pseudomonas spp (9.45%) Staphylococcus spp (10.81%).

Conclusions: The incidence of ASB is high in diabetic women and was not influenced by the patient's age, sex and duration of diabetes. Long term persistence of ASB can cause further complication.