Asymptomatic bacteriuria in type 2 Iranian diabetic women: a cross sectional study

Background The risk of developing infection in diabetic patients is higher and urinary tract is the most common site for infection. Serious complications of urinary infection occur more commonly in diabetic patients. To study the prevalence and associates of asymptomatic bacteriuria (ASB) in women with type 2 diabetes mellitus in the Iranian population, this study was conducted. Methods Between February 10, 2004 and October 15, 2004; 202 nonpregnant diabetic (type 2) women (range: 31 to 78 years old) with no abnormalities of the urinary tract system were included in this clinic based study. We defined ASB as the presence of at least $ 10^{5} $ colony-forming units/ml of 1 or 2 bacterial species, in two separated cultures of clean-voided midstream urine. All the participants were free from any symptoms of urinary tract infection (UTI). Associates for developing bacteriuria was assessed and compared in participants with and without bacteriuria. Results In this study, the prevalence of ASB was 10.9% among diabetic women. E. coli was the most prevalent microorganism responsible for positive urine culture. Most of the isolated microorganisms were resistant to Co-trimoxazole, Nalidixic acid and Ciprofloxacin. Pyuria (P < 0.001) and glucosuria (P < 0.05) had a meaningful relationship with bacteriuria but no association was evident between age (P < 0.45), duration of diabetes (P < 0.09), macroalbuminuria (P < 0.10) and $ HbA_{1c} $ level (P < 0.75), and the presence of ASB. Conclusion The prevalence of ASB is higher in women with type 2 diabetes, for which pyuria and glucosuria can be considered as associates. Routine urine culture can be recommended for diabetic women even when there is no urinary symptom..

Medienart:

E-Artikel

Erscheinungsjahr:

2006

Erschienen:

2006

Enthalten in:

Zur Gesamtaufnahme - volume:6

Enthalten in:

BMC women's health - 6(2006), 1 vom: 23. Feb.

Sprache:

Englisch

Beteiligte Personen:

Boroumand, Mohammad Ali [VerfasserIn]
Sam, Leila [VerfasserIn]
Abbasi, Seyed Hesameddin [VerfasserIn]
Salarifar, Mojtaba [VerfasserIn]
Kassaian, Ebrahim [VerfasserIn]
Forghani, Saeedeh [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Bacteriuria
Diabetic Woman
HbA1c Level
Nalidixic Acid
Urinary Tract Infection

Anmerkungen:

© Boroumand et al; licensee BioMed Central Ltd. 2006. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (

doi:

10.1186/1472-6874-6-4

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR028761413