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Year : 2015  |  Volume : 28  |  Issue : 2  |  Page : 559-564

Prevalence of urinary tract infection in Damietta diabetic patients

1 Department of Internal Medicine, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt
2 Department of Community Medicine, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt

Correspondence Address:
Emad El-Din Mohammed Abd El-Naby
El-Mansoura 35511
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-2098.163918

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Aim of the work The aim of this observational study was to quantify the incidence of urinary tract infections (UTI) among diabetic patients and to compare this risk to patients without diabetes in Damietta hospital. Patients and methods This study included one thousand individuals (500 diabetic and 500 nondiabetic) examined for potential infections; assessment of history including age, sex, duration of diabetes, and treatment of diabetes, urine analysis and culture, total leukocyte count, blood sugar, serum creatinine, and glycated hemoglobin A1c was performed for each patient. Results The prevalence of UTI was 52.2%/500 diabetic patients, which was significantly higher than the prevalence of UTI in nondiabetic patients (22.4%/500 nondiabetic patients) (P < 0.001). There was a significant difference in the distribution of UTI in the diabetic and the nondiabetic group according to the history of previous UTI and total leukocytic count as diabetic patients had more previous UTI and increased total leukocytic count compared with nondiabetic patients (P < 0.001). In terms of the distribution of uropathogens in diabetic and nondiabetic patients with UTI, Escherichia coli was the most prominent uropathogen in both the diabetic and the nondiabetic group. Conclusion UTIs are more prevalent in individuals with diabetes mellitus (DM). The main risk factors for UTI in DM are inadequate glycemic control, duration of DM, diabetic microangiopathy, impaired leukocyte function, and anatomical and functional abnormalities of the urinary tract.

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