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jsmc-10074


ASYMPTOMATIC BACTERIURIA IN WOMEN WITH DIABETES MELLITUS


Aza Bahadeen Taha * and Sabria M. Said Al-Salihi *


College of Nursing, Hawler Medical University, Erbil.


Submitted: 23/12/2014; Accepted: 12/5/2015
ABSTRACT


Background

Asymptomatic bacteriuria is a problem in women with diabetes mellitus and may lead to urinary tract infection. Escherichia coli remains the single most common bacteria isolated from asymptomatic bacteriuria in women.

Objectives

To determine the prevalence and antibiotics resistance profile of asymptomatic bacteriuria among women with diabetes mellitus, this is important for epidemiological study.

Methods

A total of 600 non-pregnant women with diabetes (type 1 and type 2), and 300 women without diabetes (control group) were screened for asymptomatic bacteriuria. All the women were free from any symptoms of urinary tract infection. Two separate clean catch midstream urine samples were collected, examined microscopically and cultured. Bacteria were isolated and identified using standard bacteriological methods. Antibiotic susceptibility testing was performed using standard disk-diffusion assays.

Results

Asymptomatic bacteriuria was detected in 15.67% of diabetic women (14.33% in type 1 and 17.00% in type 2), and 3.67% in non-diabetic women (P<0.001). Escherichia coli (58.51%) was the most prevalent pathogen isolated in diabetic subjects. Most of the bacteria were resistant to Ceftriaxone (85.11%), Cefixime (73.40%), and Trimethoprim (73.40%).

Conclusion

Asymptomatic bacteriuria is not uncommon among diabetic women and might be added to the list of diabetic complications in these women.

KEYWORDS

Diabetes Mellitus, Bacteriuria, Asymptomatic, UTI, Antibiotics Resistance.