A study on Asymptomatic Bacteriuria in Women with Diabetes Mellitus
Kashif Ali Samin, Muhammad Ikram Shah, Gohar Ali Khan, Nasir Mahmood, Muhammad Bilal, Muazzam Fuaad
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ABSTRACT
Background: Diabetes is the common predisposing factor for Urinary Tract Infection. In diabetic patients,
asymptomatic bacteriuria is more prevalent in females compared to male patients. Bacteria count for similar
species over 10^5 per ml in urine specimen of mild stream clean catch without urinary infection is known as
Asymptomatic bacteriuria (ASB). Asymptomatic bacteriuria appears to be incurable, recurring in diabetic patients.
Aim: The current study aim to determine the outcomes of asymptomatic bacteriuria in patients with diabetes mellitus.
Materials and Methods: This cross-sectional study was carried out on 85 women of diabetes mellitus in the
department of General Medicine, Qazi Hussain Ahmad Medical Complex Nowshera and Jinnah Medical College
Peshawar for duration of six months from June 2020 to December 2020. Detailed and follow-up histories of all the
patients were studied, compared, and reported. Individuals who met the inclusive criteria were enrolled in this
study. Women on steroid therapy, with immunodeficiency, and incomplete follow-up history were excluded. The
outcome of symptomatic and asymptomatic patients was followed for positive culture in a time span of 3 and 6
months. SPSS version 20 was used for data analysis purposes.
Results: The mean age of the patients was 57+15.3. Of the total, 13 (15.3%) UTI were symptomatic women with
diabetes, and UTI in asymptomatic patients was 72 (84.7%). In symptomatic cases, the prevalence of
hypertension, Macroalbuminuria, and Microalbuminuria were 7 (53.4%), 3 (23.3%), and 3 (23.3%)
respectively. HbA1C and eGFR (ml/min/1.732) level was 8.5+0.85 and 92.07+10.3 respectively.
Conclusion: Our study concluded that urinary culture detected significant bacteriuria without symptoms such as
fever, painful micturition, and urgency, frequent micturition, flank pain, burning micturition, and suprapubic pain.
Symptomatic and asymptomatic bacteriuria is more common in females. Also, asymptomatic bacteriuria appears
to be incurable, recurring in diabetic females.
Keywords: Asymptomatic, Bacteriuria, Diabetes mellitus