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Urinary tract infections in Romanian patients with diabetes: prevalence, etiology, and risk factors

Teodora Chiţă1, Bogdan Timar1, Delia Muntean1

  • 1Victor Babes University of Medicine and Pharmacy Timisoara; Pius Brinzeu Emergency Hospital.

Therapeutics and Clinical Risk Management
|December 30, 2016
PubMed
Abstract

Insights

Urinary tract infections (UTIs) are common in patients with diabetes mellitus (DM). Key risk factors include female gender, older age, type 2 DM, longer diabetes duration, and poor metabolic control, necessitating improved screening and care.

Area of Science:

  • Endocrinology
  • Nephrology
  • Infectious Diseases

Background:

  • Patients with diabetes mellitus (DM) face a heightened risk of infections, particularly urinary tract infections (UTIs).
  • Understanding the prevalence and specific risk factors for UTIs in this population is crucial for effective management.

Purpose of the Study:

  • To determine the prevalence and etiological agents of UTIs in patients with DM.
  • To identify risk factors associated with UTI development in individuals with diabetes mellitus.

Main Methods:

  • A retrospective review of 2,465 adult patients with DM hospitalized in a Diabetes Clinic.
  • Analysis of medical records to collect data on UTI presence and associated risk factors.
  • Statistical analysis using SPSS v.17, including univariate and multivariate logistic regression.

Main Results:

  • The prevalence of UTIs was 12.0% (297 cases), higher in females and patients with type 2 DM.
  • Identified risk factors included female gender, age, type 2 DM, longer DM duration, chronic kidney disease, and coronary artery disease.
  • Independent risk factors were age, DM duration, and metabolic control (HbA1c); Enterobacteriaceae, especially E. coli, were predominant pathogens.

Conclusions:

  • Urinary tract infections are a frequent complication in patients with diabetes mellitus.
  • Improved screening and care for UTIs in DM patients are essential to prevent severe renal complications.
Keywords:
diabetes mellitusepidemiologyincidenceurinary tract infections

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