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Asymptomatic bacteriuria in women with diabetes: influence of metabolic control

Mario Bonadio1, Elisabetta Boldrini, Giovanna Forotti

  • 1Infectious Diseases Section, Department of Internal Medicine, University-Hospital, Pisa, Italy. m.bonadio@int.med.unipi.it.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|March 5, 2004
PubMed

We screened 228 women with diabetes for bacteriuria during the period of January 1997 through December 2000 at Pisa General Hospital (Pisa, Italy). A control group of 146 women without diabetes was also evaluated. The frequency of significant bacteriuria was 17.5% (40 of 228) among women with diabetes and 18.5% (27 of 146) among women in the control group. Seven (13.5%) of 52 and 33 (18.8%) of 176 women with type 1 and in type 2 diabetes, respectively, had significant bacteriuria. The presence of higher glycated hemoglobin levels was the only significant risk factor for significant bacteriuria in women with type 2 diabetes. A similar frequency of bacteriuria in women with and women without diabetes was found. Severe impairment of metabolic control of type 2 diabetes increases the risk of acquiring asymptomatic bacteriuria.

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