JOURNAL OF EVIDENCE BASED MEDICINE AND HEALTHCARE

Table of Contents

2018 Month : July Volume : 5 Issue : 28 Page : 2110-2112

CLINICAL AND MICROBIOLOGICAL PROFILE OF URINARY TRACT INFECTIONS IN DIABETIC PATIENTS.

Kothai Gnanamoorthy1, R. Vimal Kumar2, Suthakaran Prasanna Karthik3

Corresponding Author:
Dr. Prasanna Karthik,
Department of General Medicine,
Saveetha Medical College and Hospital,
Saveetha University,
Thandalam- 602105, Chennai.
E-mail: kartpress@gmail.com
DOI: 10.18410/jebmh/2018/437

ABSTRACT
BACKGROUND
Diabetes mellitus is a major risk factor for urinary tract infections (UTIs) and is also associated with increased risk of complicated UTI. Improved outcomes of these entities may be achieved by early diagnosis, knowledge of common predisposing factors, appropriate clinical and radiological assessment, and prompt management.

MATERIALS AND METHODS
120 diabetic patients were included in the study after fulfilling the inclusion and exclusion criteria. After obtaining consent and history, clinical examination was done; a midstream urine sample was collected in a sterile container and sent for urine culture and sensitivity. Data obtained was recorded and analysed using SPSS version 22.

RESULTS
Data was collected from 120 diabetics and analysed. Urinary tract infection was present among 27.5% diabetics. UTI was independent of the patient’s age and HbA1c levels. Longer the duration of diabetes mellitus, greater is the risk of urinary tract infection. The most common organism isolated was E.coli followed by Klebsiella spp. Most of the organisms showed good sensitivity to amikacin.

CONCLUSION
The prevalence of UTI among the diabetics is considerably high. Because of the frequency and severity of UTI in diabetic patients, prompt diagnosis and early treatment is necessary to prevent consequent complications.

KEYWORDS
Urinary tract infections, complicated UTI, pyuria, E.coli, Klebsiella.