Vol. 5 (05) pp. 1158-1164 DOI: 10.21474/IJAR01/4226

ASYMPTOMATIC BACTERIURIA AMONG TYPE 2 DIABETES MELLITUS PATIENTS IN PRIMARY CARE CENTRE IN SAUDI ARABIA.

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  • Family & Community Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
  • College of Nursing, King Saud University, Riyadh, Saudi Arabia.
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Abstract

Background: The present study aimed to measure the prevalence of ASB among type 2 diabetes mellitus (T2DM) patients and to determine the demographic and clinical factors that may contribute to its development. Methods: A cross sectional study was conducted in the Chronic Diseases Center at primary care from 21 February to 24 March 2016. Patients with T2DM with any symptoms of urinary tract infection (UTI) were participated. Midstream urine Specimen (MSU) was collected and tested for infection and culture /sensitivity of ASB. Results: A total of 406 patients (203 males and 203 females) with T2DM was included in the present study. Twenty two patients (5.6%) had a significant bacteriuria. The female participants had a significantly more bacteriuria compared to male participants (4 male versus 18 females). There was no statistically significant correlation between age, HbA1c, duration of diabetes, and body mass index (BMI). Logistic regression showed that there is each year increase in age, and one unit increase in HbA1c level among males compared with females. Conclusions: The relatively low prevalence of ASB was found in patients with T2DM. There are no significant association between ASB and other factors.

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How to Cite This Article

Awadh A. Al-Rashidi, Ahmed Bakhiet, Ayla Turkmani and Abdualrahman Al-Shehry, Msn, Bsn, CCRN. (2017); ASYMPTOMATIC BACTERIURIA AMONG TYPE 2 DIABETES MELLITUS PATIENTS IN PRIMARY CARE CENTRE IN SAUDI ARABIA., International Journal of Advanced Research (IJAR), 5 (05), 1158-1164, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/4226

Corresponding Author

Dr. Abdualrahman S. Alshehry
Assistant professor at King Saud University

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References

  1. Ophori EA, Imade P, Johnny EJ. Asymptomatic bacteriuria in patients with type-2 diabetes mellitus. J Bacteriol Research 2010; 2(2): 14-17.
  2. Stapleton A. Urinary tract infections in patients with diabetes. Am J Med 2002;113(1): 80-84.
  3. Geerlings SE, Stolk RP, Camps MJ, Netten PM, Collet TJ, Hoepelman AI; Diabetes Women Asymptomatic Bacteriuria Utrecht Study Group. Risk factors for symptomatic urinary tract infection in women with diabetes. Diabetes Care 2000;23(12): 1737-1741.
  4. Geerlings SE, Stolk RP, Camps MJ, Netten PM, Hoekstra JB, Bouter KP, Hoepelman AI. Asymptomatic bacteriuria may be considered a complication in women with diabetes. diabetes mellitus women asymptomatic bacteriuria utrecht study group. Diabetes Care 2000;23(6): 744-749.
  5. Joshi N, Caputo GM, Weitekamp MR, Karchmer A. Infections in patients with diabetes mellitus. N Engl J Med 1999;341(25): 1906-1912.
  6. Andriole V. Urinary tract infections and pyelonephritis. Cecil Textbook of Medicine. Edited by Wyngaarden JB and Smith LH 17th Edition, WB Saunders, 1985, pp 619-623.
  7. Lyamuya EF, Moyo SJ, Komba EV, Haule M. Prevalence, antimicrobial resistance and associated risk factors for bacteriuria in diabetic women in dar es salaam, tanzania. Afr J Microbiol Res 2011;5(6): 683-689.
  8. Medical Research Council Bacteriuria Committee. Recommended terminology of urinary tract infection. Br Med J 1979;2(717): 9.
  9. Jayalakshmi J, Jayaram VS. Evaluation of various screening tests to detect asymptomatic bacteriuria in pregnant women. Indian J Pathol Microbiol. 2008;51(3): 379-381.
  10. KASS EH. Bacteriuria and pyelonephritis of pregnancy. Arch Intern Med 1960;105(2): 194-198.
  11. Kayima JK, Otieno LS, Twahir A, Njenga E. Asymptomatic bacteriuria among diabetics attending kenyatta national hospital. East Afr Med J 1996;73(8): 524-526.
  12. Glauser MP, Kuylens R, Mollby R, et al. Infections. Current concepts in the management of urinary tract infections workshop. Proc lXth Int. Congress Nephr. 1984; 1441-44.
  13. Pozzilli P, Leslie RD. Infections and diabetes: Mechanisms and prospects for prevention. Diabet Med 1994;11(10): 935-941.
  14. Carton JA, Maradona JA, Nuno FJ, Fernandez-Alvarez R, Perez-Gonzalez F, Asensi V. Diabetes mellitus and bacteraemia: A comparative study between diabetic and non-diabetic patients. Eur J Med 1992;1(5): 281-287.
  15. Alebiosu CO, Osinupebi OA, Olajubu FA. Significant asymptomatic bacteriuria among nigerian type 2 diabetics. J Natl Med Assoc 2003;95(5): 344-349.
  16. Makuyana D, Mhlabi D, Chipfupa M, Munyombwe T, Gwanzura L. Asymptomatic bacteriuria among outpatients with diabetes mellitus in an urban black population. Cent Afr J Med 2002;48(7-8): 78-82.
  17. Chaudhuri SR, Thakur AR, Nandy P, Samanta S. Urinary tract infection-A survey of local population. Am J Infect Dis 2008;4(2): 117-123.
  18. Iqari Y, Oba K, Yamamoto Y, Yasuoka H, Ouchi M, Watanabe K, Matsumura N, Suzuki T, Nakano H. Asymptomatic leukocyturia and the autonomic nervous system in women. Geriatr Gerontol Int 2009;9(2): 190-196.
  19. Harding GK, Zhanel GG, Nicolle LE, Cheang M; Manitoba Diabetes Urinary Tract Infection Study Group. Antimicrobial treatment in diabetic women with asymptomatic bacteriuria. N Engl J Med 2002;347(20): 1576-1583.
  20. Zhanel GG, Nicolle LE, Harding GK. Prevalence of asymptomatic bacteriuria and associated host factors in women with diabetes mellitus. The manitoba diabetic urinary infection study group. Clin Infect Dis 1995;21(2): 316-322.
  21. Zhanel GG, Harding GK, Nicolle LE. Asymptomatic bacteriuria in patients with diabetes mellitus. Rev Infect Dis 1991;13(1): 150-154.
  22. Boroumand MA, Sam L, Abbasi SH, Salarifar M, Kassaian E, Forghani S. Asymptomatic bacteriuria in type 2 iranian diabetic women: A cross sectional study. BMC Womens Health 2006;6: 4.
  23. Girishbabu RJ, Srikrishna R, Ramesh ST. Asymptomatic bacteriuria in pregnancy. Int J Biol Med Res. 2011; 2(3): 740-42.
  24. Janifer J, Geethalakshmi S, Satyavani K, Viswanathan V. Prevalence of lower urinary tract infection in south indian type 2 diabetic subjects. Indian J Nephrol 2009;19(3): 107-111. doi:10.4103/0971-4065.57107.

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