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Urinary tract infection in children with type I diabetes
Insights
Urinary tract infections (UTIs) are uncommon in children with type I diabetes. This study found UTI rates in young diabetics similar to healthy peers, suggesting no increased risk.
Area of Science:
- Pediatric Endocrinology
- Nephrology
- Infectious Diseases
Background:
- Type I diabetes mellitus (TIDM) can impact various bodily systems.
- Urinary tract infections (UTIs) are a common concern in the general population.
- The specific risk of UTIs in pediatric TIDM patients requires investigation.
Purpose of the Study:
- To determine the prevalence and incidence of bacteriuria in children with TIDM.
- To compare UTI rates in pediatric TIDM patients with the general population.
- To assess the risk of pyelonephritis and cystitis in this cohort.
Main Methods:
- Screening for bacteriuria during routine outpatient visits for 304 girls and 337 boys with TIDM.
- Collecting urine specimens every three months for one year from a subset of 90 girls and 108 boys.
- Monitoring for clinical diagnoses of pyelonephritis and cystitis.
Main Results:
- Prevalence of bacteriuria was 0.99% in girls (3/304) and 0% in boys (0/337).
- During the one-year follow-up, one girl developed pyelonephritis and two developed cystitis.
- No bacteriuria or UTIs were observed in the boys during the study period.
Conclusions:
- The prevalence and incidence of UTIs in young individuals with type I diabetes are low.
- UTI rates in pediatric TIDM patients appear comparable to those in healthy young individuals.
- TIDM does not seem to confer an increased risk for urinary tract infections in children.
Abstract:
The prevalence and incidence of bacteriuria in 304 girls and 337 boys with type I diabetes was studied by screening for bacteriuria at their regular outpatient controls. In 90 girls and 108 boys a urine specimen was sampled every third month during a year. The prevalence of bacteriuria was 3/304 in girls and 0/337 in boys. During the one year follow-up one of the 90 girls had pyelonephritis and two cystitis while none of the boys had bacteriuria. It is concluded that the rate of urinary tract infection in young diabetic persons does not differ from that present in healthy young people.