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THE PREVALENCE OF URINARY TRACT INFECTION IN TYPE 2 DIABETES MELLITUS PATIENTS ATTENDING THE GENERAL OUTPATIENT CLINIC IN THE UNIVERSITY OF PORT HARCOURT TEACHING HOSPITAL.
Abstract
Objectives: To determine the prevalence of urinary tract infections in type 2 diabetic patients
attending the General Out patient clinic at the University of Port Harcourt Teaching Hospital.
Identify the common causative organisms responsible for urinary tract infections in diabetes with
a view to forming the basis for empirical antimicrobial therapy and associated risk factors in
these patients.
Design: Cross sectional study.
Setting: University of Port Harcourt Teaching Hospital, Port Harcourt.
Patients: Type 2 diabetic and non diabetic adult patients attending the General Outpatient Clinic
of the Teaching Hospital between June 1, and December 30, 2005.
Procedures: Clean catch mid stream urine was taken for urinalysis, bacteriological culture and
antibiotic sensitivity testing was done on positive cultures. Blood samples were equally collected
and sent to the chemical laboratory for fasting blood glucose estimation.
Results: During the seven (7) months period, a total of 600 patients (consisting of diabetics and
non diabetics) were evaluated. The mean age for the diabetics was 55.5 ± 8.2 and for the non
diabetics was 48.5 ± 8.9.
A prevalence of 25% of asymptomatic bacteriuria was found. The common pathogens isolated
were Kleb spp(52%), E.coli(20%), Staph spp(20%). Each of the isolates ( Kleb spp and E.coli )
showed good sensitivity to Nitrofurantoin and Quinolones. Poor metabolic control, females and
older subjects were found to have increased bacteriuria.
Conclusion: This study demonstrates that high prevalence of asymptomatic bacteriuria was
common among diabetic patients. Also suspected cases of urinary tract infections in diabetics
can be managed empirically with nitrofurantoin and quinolones (in the absence of sensitivity
testing or while awaiting results of sensitivity).
THE PREVALENCE OF URINARY TRACT INFECTION IN TYPE 2 DIABETES MELLITUS PATIENTS ATTENDING THE GENERAL OUTPATIENT CLINIC IN THE UNIVERSITY OF PORT HARCOURT TEACHING HOSPITAL.
