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Asymptomatic bacteriuria in Nigerian diabetics
The Journal of Tropical Medicine and Hygiene
|February 1, 1986
Summary
Diabetic patients have a slightly higher incidence of asymptomatic bacteriuria than non-diabetics. This condition, often caused by E. coli, is more common in females and individuals over 40.
Area of Science:
- Urology
- Endocrinology
- Infectious Diseases
Background:
- Asymptomatic bacteriuria (ASB) is the presence of bacteria in the urine without associated symptoms.
- The prevalence and risk factors for ASB in diabetic populations require further investigation.
- Understanding ASB in diabetes is crucial for preventing potential complications.
Purpose of the Study:
- To determine the prevalence of asymptomatic bacteriuria in diabetic patients compared to non-diabetic controls.
- To identify demographic and clinical factors associated with ASB in diabetic individuals.
- To ascertain the most common causative organism of ASB in this cohort.
Main Methods:
- A case-control study involving 190 diabetic patients and 190 age- and sex-matched non-diabetic controls.
- Screening for asymptomatic bacteriuria through urine culture.
- Analysis of demographic data and diabetes control parameters.
Main Results:
- A prevalence of 6.3% for ASB was observed in diabetic patients versus 5.3% in the control group.
- ASB was more prevalent in females and in individuals over 40 years of age.
- Escherichia coli was the most frequently isolated organism; no correlation was found between ASB incidence and diabetes control.
Conclusions:
- Diabetic patients exhibit a slightly increased risk of asymptomatic bacteriuria compared to non-diabetics.
- Female sex and older age are significant risk factors for ASB.
- E. coli is the predominant pathogen, and glycemic control does not appear to influence ASB occurrence.