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International Journal of Tropical Medicine

ISSN: Online 1818-779X
ISSN: Print 1816-3319
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Prevalence of Urinary Tract Infection and Antimicrobial Susceptibility Among Diabetic Patients with Controlled and Uncontrolled Glycemia in Tertiary Care Set Up

Santosh V. Thoke, Khushboo , Nandita Hazra, Sangappa Shankar Rao, Sonali Passi Verma, Jes Raphael and Sonali Passi Verma
Page: 1-5 | Received 10 Aug 2023, Published online: 24 Aug 2023

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https://doi.org/10.36478/10.59218/makijtm.2023.2.1.5

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Abstract

Urinary tract infection (UTI) is the most common infection among patients with DM and is responsible for considerable morbidity, particularly if it is unrecognized or untreated. In this study we aimed to assess the prevalence of UTI as well as type of microbiologically confirmed UTI and pattern of the antimicrobial susceptibility in relation to diabetes mellitus in patients with good and patients with poor glycemic control. Present study was single-center, prospective, cross-sectional study, conducted in patients of either gender, of 18-65 years age, known case of diabetes mellites (fast plasma glucose more than 126 mg dL‾1 and post prandial plasma glucose more than 180 mg dL‾1), symptomatic UTI (10² CFU mL‾1) OR asymptomatic UTI (105 CFU mL‾1). In present study, among 250 patients with good glycemic control (group C) and 250 patients with poor glycemic control (group UC), majority were male (70.8%) and common co-morbidities were hypertension (38.6%), coronary artery disease (6.2%), chronic kidney disease (3.6%) and hypothyroidism (3.6 %). Increased levels of urea and HbA1c in UC group as compared to group C and difference was statistically significant. Prevalence of UTI in present study was 20% for uncontrolled group and 10% for controlled group (including mixed infections). Common pathogen observed was E. coli (7.4%), Candida (2.6%) and Klebsiella (0.4%). 5.2% patients had mixed infection. Urinary tract infection is frequent in diabetic patients; higher prevalence was noted in uncontrolled group as compared to controlled group. Early diagnosis, knowledge of common predisposing factors and appropriate clinical management are important to improve prognosis.

How to cite this article:

Santosh V. Thoke, Khushboo , Nandita Hazra, Sangappa Shankar Rao, Sonali Passi Verma, Jes Raphael and Sonali Passi Verma. Prevalence of Urinary Tract Infection and Antimicrobial Susceptibility Among Diabetic Patients with Controlled and Uncontrolled Glycemia in Tertiary Care Set Up.
DOI: https://doi.org/10.36478/10.59218/makijtm.2023.2.1.5
URL: https://www.makhillpublications.co/view-article/1816-3319/10.59218/makijtm.2023.2.1.5