Asymptomatic Bacteriuria in Type II Diabetic Women inRamadi City

Abstract

Background: Urinary tract in diabetics is one of the most common site for infection, not infrequently associated with serious complications. This study was conducted to evaluate the prevalence of asymptomatic bacteriuria in type 2 diabetic women of Al-Anbar population.
Objective: The aim of this study was to assess the prevalence of asymptomatic bacteriuria and associated risk factors in type 2 diabetic women.
Methods: A total of 108 non-pregnant type 2 diabetic women (32 years to 100 years old) with no abnormalities of the urinary tract system were studied from March to November 2007. All the participants were symptoms free regarding urinary tract infection. Pyuria, macroalbuminuria glucosuria ,Age, and, duration of diabetes were assessed and compared in participants with and without bacteriuria. Bacteriuria was defined as the presence of at least 105 colony forming units/ml of 1 or 2 bacterial species in a culture of clean-voided midstream urine confirmed by a second culture.
Results: The prevalence of ASB (Asymptomatic bacteriuria) was 33.3%. Escherichia coli was the most prevalent microorganism responsible for positive urine culture (61.1%) . Most of the isolated microorganisms were sensitive to Amikacin, Norfloxacin and Ciprofloxacin. Pyuria, macroalbuminuria and glucosuria had a meaningful relationship with ASB but no associations were found between age, duration of diabetes and the presence of ASB.
Conclusion: Type 2 diabetic women suffering from pyuria, macroalbuminuria and glucosuria had higher prevalence of ASB. Urine culture can be recommended for diabetic women even when they are symptoms free regarding UTI.

Key words: Asymptomatic bacteriuria, Type 2 diabetic women, Ramadi-Iraq.