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ISSN 2063-5346
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Clinical Profile of Asymptomatic Bacteriuria in Type 2 Diabetes Mellitus: A cross sectional study

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Dr. Priyanaka Mane , Dr. Makarand Mane , Dr. Nachiket Trivedi, Dr S R Patil
» doi: 10.31838/ecb/2023.12.si4.214

Abstract

Geographical variations in microbial patterns and risk variables are associated with asymptomatic bacteriuria (ASB), which is thought to precede symptomatic urinary tract infection (UTI) in people with diabetes mellitus. Krishna Institute of Medical Science statistics are still inadequate, nevertheless. Material and methods: In order to (1) estimate the prevalence of ASB and its correlation with age, gender, duration of diabetes, renal and glycemic status, and (2) identify the antibiotic sensitivity pattern of uropathogens as well as assess the usefulness of microbial pattern as a predictor of symptomatic UTI, a cross sectional study involving 80 otherwise healthy type 2 diabetes patients was conducted. Results: In our study, 25.25% of the type 2 diabetic group had ASB. Males said that Klebsiella sp. was the most frequent cause. A lengthy history of type 2 diabetes was discovered to be the only risk factor for ASB. Age, gender, or recent glycemic status were not associated. UTI risk was higher in bacteriuric individuals with lower baseline HbA1C levels. The likelihood of acquiring UTI within a year was considerably higher in female diabetes individuals with ASB caused by Escherichia coli. Conclusion: There will actually be no need to revisit guidelines on screening for ASB caused by E. coli in females with long-standing diabetes and poor glycemic control if a large-scale prospective investigation confirms similar findings. These patients can avoid symptomatic UTI by implementing a strict HbA1C reduction plan as soon as possible and by taking steps to enhance genital cleanliness

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