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          VOLUME 39 / ISSUE 2

The Journal is Indexed in

3 - The importance of asymptomatic bacteriuria in women with diabetes mellitus

Soner Güney, Yusuf İlker Çömez, Ayhan Dalkılıç, Nurettin Cem Sönmez, Neşe Güney, Erbil Ergenekon

Introduction: Patients with diabetes have an increased risk of urinary tract infections compared with normal population. Even though UTI’s are asymptomatic and does not affect life quality, it may cause serious complications like pyelonephritis, emphysematous cystitis, renal abcesses and bacteriemia.

Matherial and methods: A total of 261 patients with diabetes who had no complaints of urinary tract visiting diabetes outpatient clinic were included in the study in order to determine to determine the prevalance of asymptomatic bacteriuria (ASB) in diabetic women. The mean age of the patients was 46,5 (18-70). Exculision criteria were pregnancy, pathological findings of urinary tract in sonography and vaginal infections. All patients had urinanalysis and urine cultures. ASB was defined as the presence of at least 10 CFG per mililiter in at least two clean voided midstream urine samples.

Results: Seventy four patients (28,6%) had type I DM and 187 patients (71,4%) at type 2 DM. The mean age was 52 and mean duration of DM was 18 years in the patients having ASB, while the mean age was 47 and mean duration of DM was 13 years in patients without ASB. We found the prevalance of ASB in diabetic women as 29%, the ratio of ASB in type 1 DM 22% and the ratio of ASB in type 2 DM women was 31%. The most isolated microorganism was E.Coli. in the follow-up period 78 patients (30%) had cystitis. Altough given apropriate antibiotherapy 20 patients developed 2 UTI’s and 10 patients 3 or more UTI’s. 2 patients had pyelonephritis and I patient had pyonehrosis.

Conclusions: The prevalance of ASB is higher in diabetic women. This situation clinically may be a serious risk factor that can cause renal function loss in diabetic women.


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