12Dec 2017

URINARY TRACT INFECTION IN DIABETIC PATIENTS COMPARED WITH NON-DIABETICS: DIFFERENCE IN EPIDEMIOLOGY, MICROBIOLOGY AND CLINICAL FEATURES.

  • Assistant Professor Al-Safwa University College, Karbala, Iraq.
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Background: Urinary Tract Infections (UTI) are considered as the most common bacterial infections in the outpatient practice and affect all age groups with female to male predominance. Objective: The aim of the study was to investigate the epidemiological, bacteriological and clinical features of the urinary tract infection in diabetic patients and compare them with those of non-diabetics. Patients and methods: Two groups of patients were included in the study. Group (1): people with Diabetes Mellitus, type-two, and Group (2): non-diabetic patients for comparison purpose. The diabetic group included (162) patients (81 females and 81 males). On the other hand Group (2) included (54) individuals (27 females and 27 males). The existence of the UTI was looked for in both samples searching for any difference relating to incidence, microbiology and clinical features. The recorded data were subjected to statistical evaluation. Results: There were both some similarities as well as differences between the two groups of the investigated individuals in terms of incidence, bacteriology and clinical feature. Conclusion: There were but no major differences in the epidemiology, microbiology and clinical features in the two groups. Some of the differences were significant whereas others lacked statistical significance.


  1. Aswani, S.M., Chandrashekar, U.K., Shivashankara, K.N. and Pruthvi, B.C. (2014): Clinical profile of urinary tract infections in diabetics and non-diabetics. Australasian Med. J., 7(1): 29-34.
  2. Bonadio, M., Meini, M., Gigli, C., Longo, B. and Vigna, A. (1999): Urinary tract infection in diabetic patients. UrologiaInternationalis, 63: 215-219.
  3. Cumming, A. (2005): The renal system. In: Macleod's clinical examination. Eleventh edition, Edinburgh, Churchill Livingstone, p:194.
  4. Farrell, D. J., Morissey, L., De Rubeis, D., Robbins, M. and Flemingham, D. (2003): A UK Multi centre study of the antimicrobial susceptibility of bacterial pathogens causing urinary tract infection. J. Infection., 46(2): 94-100.
  5. Foxman, B., Barlow, R., D'Arcy, H., Gillespie, B. and Sobel, J.D. (2000) Urinary tract infection: Self- reported incidence and associated costs. Annals of Epidemiology. 10 (8): 509 -515.
  6. Foxman, B. (2010): The epidemiology of urinary tract infection. Nature Reviews Urology, 7: 653- 660.
  7. Goddard, J., Turner, A.N. and Stewart, L.H. (2010): Urinary tract infection. In: Colledge, N. R., Walker, B.R. and Ralston, S. H.: Davidson's Principles and Practice of Medicine 21st edition , Edinburgh, Churchill Livingstone. pp:469 ? 472.
  8. Hooton, T.M., Bradley, S.F., Cardenas, D.D., Colgan, R., Geerlings, S.E., Rice, J.C., Saint, S., Schaeffer, A.J., Tambayh, P.A., Tenke, P. and Nicolle, L.E. (2010) Diagnosis, prevention and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin. Infect. Dis., 50: 625 ? 663.
  9. Kremery, S., Dubrava, M., Kremery, V. Jr. (1999): Fungal urinary tract infection in patients at risk. Int. J. Antimicrob. Agents, 11: 289 ? 291.
  10. Mnif, F.,?Naceur, B.N., Rekik, N., Mnif, M.A.,?Kamoun, M.,?Kacem, F.H., Bouaziz, Z. and ?Charfi, N. (2013): Complicated urinary tract infections associated with diabetes mellitus: Pathogenesis, diagnosis and management. Indian J. Endocrinol. Metab., 17 (3): 442 ? 445.
  11. Nicolle, L. E. (2005): Urinary tract? infection in diabetes. Current Opinion in Infectious Diseases, 18: 49 ? 53.
  12. Ronald, A. (2003): The Etiology of urinary tract infection: Traditional and emerging pathogens. Disease-a-Month, 49 (2): 71 ? 82.
  13. Tourret, J., Bagnis, C.I. and Denamur, E. (2014): Urinary tract infection in diabetic patients. La Revue du Praticien, 64 (7): 980 ? 983.
  14. Wise, G.J. and Sehlegel, P.N. (2015): Sterile pyuria. New Eng. J. Med., 372 (11): 1048 ? 1054.
  15. Yaqoob, M.M. (2009): Urinary tract infection. In: Kumar, P. and Clark, M. C., Kumar and Clark Clinical Medicine, 7th edition, Edinburgh, Saunders, pp 599-603.

[Kadhim A. Al-Hilali. (2017); URINARY TRACT INFECTION IN DIABETIC PATIENTS COMPARED WITH NON-DIABETICS: DIFFERENCE IN EPIDEMIOLOGY, MICROBIOLOGY AND CLINICAL FEATURES. Int. J. of Adv. Res. 5 (Dec). 231-236] (ISSN 2320-5407). www.journalijar.com


Kadhim A. Al-Hilali
Al-Safwa University College, Karbala, Iraq.

DOI:


Article DOI: 10.21474/IJAR01/5958      
DOI URL: https://dx.doi.org/10.21474/IJAR01/5958