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Incidence and risk factors associated with urinary tract infection in diabetic patients with and without asymptomatic bacteriuria

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Abstract

In order to compare the incidence of symptomatic urinary tract infection (UTI) in diabetic patients with and without asymptomatic bacteriuria (ASB), and to identify other risk factors for these infections, 289 females and 168 males were studied over a 12-month period. Symptomatic UTI occurred in 69.2% of patients with ASB (67.6% female and 76.5% male) versus 9.8% without ASB (14.9% female and 2.6% male). ASB and urinary incontinence were associated with symptomatic UTI in both women and men. Other risk factors included previous antimicrobial treatment and macrovascular complications in women and obesity and prostatic syndrome in men. The presence of ASB was found to be the major risk factor for developing symptomatic urinary tract infection. Further prospective randomized clinical trials of diabetic patients with risk factors for UTI who are receiving or not receiving treatment may be considered.

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Acknowledgements

Mr. Damian St John Tompson, Mr. Pablo Ortega Gil and Ms. Eva Sáez Sanchís are acknowledged for their assistance in reviewing the manuscript.

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Authors and Affiliations

  1. Department of Clinical Medicine, Miguel Hernández University, Campus de San Juan, San Juan, Alicante, 03550, Spain

    M. C. Ribera, R. Pascual, D. Orozco, C. Pérez Barba & V. Gil

  2. Department of Internal Medicine, General Hospital of Elda, Carretera Elda-Sax por la Torreta s/n. Elda, 03600, Alicante, Spain

    M. C. Ribera, R. Pascual, D. Orozco, C. Pérez Barba, V. Pedrera & V. Gil

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  1. M. C. Ribera
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  2. R. Pascual
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  3. D. Orozco
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  4. C. Pérez Barba
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  5. V. Pedrera
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  6. V. Gil
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Correspondence to R. Pascual.

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Ribera, M.C., Pascual, R., Orozco, D. et al. Incidence and risk factors associated with urinary tract infection in diabetic patients with and without asymptomatic bacteriuria. Eur J Clin Microbiol Infect Dis 25, 389–393 (2006). https://doi.org/10.1007/s10096-006-0148-5

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  • DOI: https://doi.org/10.1007/s10096-006-0148-5

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