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Prevalence of urinary tract infection and risk factors among Saudi patients with diabetes

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Abstract

Purpose

The aim of this study is to assess the prevalence of urinary tract infection (UTI) and its risk factors among Saudi diabetics.

Method

A total of 1,000 diabetic patients were included. Patients were interviewed and examined at each visit every 6 months.

Results

The prevalence of UTI was 25.3 % in total diabetic population and 7.2 and 41.1 % in males and females, respectively. Females have highest risk of UTI (RR = 6.102; CI = 4.343–8.573; P < 0.001). Age, duration of diabetes and HbA1c did not influence the incidence of UTI, while BMI above 30 kg/m2 increased the risk (RR = 1.722; CI = 1.532–1.935; P < 0.001). The incidence of UTI in both type 1 and 2 diabetics was similar (23.7 and 25.6 %). There was no significant risk in patients aged above 60 years (RR = 1.054; CI = 0.841–1.321; P = 0.651). The risk factors found to be associated with UTI were hypertension (RR = 1.202; CI = 1.061–1.361; P = 0.006), insulin therapy (RR = 1.411; CI = 1.262–1.578; P < 0.001) and nephropathy (microalbuminuria) (RR = 1.417; CI = 1.036–1.939; P = 0.031).

Conclusion

The present study has shown that prevalence of UTI is more in diabetic females and diabetics with BMI above 30 kg/m2. The other risk factors associated with UTI in general diabetic population were found to be microalbumniuria, hypertension and insulin therapy.

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Conflict of interest

The authors declare that they have no conflict of interests.

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Authors and Affiliations

  1. Strategic Center for Diabetes Research, University Diabetes Centre, King Saud University, P.O. Box 245, Riyadh, 11411, Kingdom of Saudi Arabia

    Khalid A. Al-Rubeaan, Osama Moharram, Dekra Al-Naqeb, Asim Hassan & M. R. M. Rafiullah

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  1. Khalid A. Al-Rubeaan
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  2. Osama Moharram
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  3. Dekra Al-Naqeb
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  4. Asim Hassan
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  5. M. R. M. Rafiullah
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Correspondence to M. R. M. Rafiullah.

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Al-Rubeaan, K.A., Moharram, O., Al-Naqeb, D. et al. Prevalence of urinary tract infection and risk factors among Saudi patients with diabetes. World J Urol 31, 573–578 (2013). https://doi.org/10.1007/s00345-012-0934-x

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  • DOI: https://doi.org/10.1007/s00345-012-0934-x

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