URINARY TRACT INFECTION FREQUENCY AND PATTERN IN PATIENTS WITH DIABETES MELLITUS

Objective: To determine the frequency and pattern of urinary tract infection in patients with diabetes mellitus. Design: Descriptive case series study. Period: February 2009 to July 2009. Setting: Department of medicine at Liaquat University Hospital). Patients and methods: All patients ≥18 years of age, of either gender were known diabetes for ≥ 2 years duration. The infection was labeled when >5/hpf leukocyte in urine and growth of organism on urine for C/S. The blood sugar and hemoglobin A1C (HbA1C) was also advised to evaluate the status of their diabetes i.e. control or poorly control. Result: During study period total 150 diabetic patients were evaluated for urinary tract infection, of which 92(61%) had UTI. Out of ninety two 80(87%) had diabetes type 2 and 12(13%) were diabetes type 1. The female gender was predominant. The mean ± SD for age of patients with type 2 and type 1 diabetes mellitus was 53.52±10.74 and 20.77±1.65 whereas the mean random blood sugar level in patients with type 2 and 1 diabetes was 232.85±5.87 and 288.99 ± 7.87. The mean ± SD for duration of diabetes type 2 and 1 was 4.77±2.31 and 2.56±1.42. The isolated microorganism were Staphylococcus aureus, Escherichia coli, Proteus, Pseudomonas aeruginosa, Klebsiella, Enterobacteriaceae and C.albicans. Conclusions: The urinary tract infection is more prevalent in patients with diabetes mellitus.