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| Year:
2013 |
Month:
August
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Volume:
2 |
Issue:
2 |
Page:
11 - 13 |
Asymptomatic Bacteriuria in Patients with Diabetes Mellitus
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Correspondence
Girishbabu R.J., Prakash R., Prashanth H.V., Chandrashekar S.C.,
Dr. Girishbabu R.J.
Assistant Professor, Department of Microbiology,
Sri Siddhartha Medical College, Agalakote, B.H. Road,
Tumkur- 572 107, Karnataka, India.
Email: girianni@rediffmail.com
Ph: 09964502527 :
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Background:Asymptomatic bacteriuria is a common problem in diabetic patients and is associated with risk of septicemia and pyelonephritis if untreated. The diagnosis is based on urine culture. The incidence of antibiotic resistance has been steadily increasing over the past few years resulting in limitation of therapeutic options.
Aims & Objectives :This study was carried out to determine the prevalence of asymptomatic bacteriuria in diabetic patients and also to isolate, identify and establish the antimicrobial susceptibility pattern of the pathogens.
Materials & Methods:This prospective study includes 1000 diabetic patients. Isolates were identified by conventional methods and their antibiotic susceptibility pattern was established.
Statistical Analysis:The results were analyzed using mean, median and Chi-square (χ2) test.
Results: A total of 120 (12%) were positive for significant bacteriuria.Escherichia coli was the most predominant organism followed by Klebsiella pneumoniae. Imipenem,pipercillin-tazobactum, nitrofurantoin and amikacin were found to be the most effective antibiotics against the urinary isolates.
Conclusion:The prevalence of asymptomatic bacteriuria is high in diabetic patients and poor glucose control can be considered as a predisposing factor. Routine urine culture is recommended, especially for the detection of asymptomatic bacteriuria cases in diabetic patients.
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