Asymptomatic bacteriuria may be considered a complication in women with diabetes

SE Geerlings, RP Stolk, MJL Camps, PM Netten, JBL Hoekstra, KP Bouter, B Bravenboer, JT Collet, AR Jansz, AIM Hoepelman*, Diabet Mellitus Women Asymptomati

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

192 Citations (Scopus)

Abstract

OBJECTIVE - To study the prevalence of and risk factors for asymptomatic bacteriuria (ASB) in women with and without diabetes.

RESEARCH DESIGN AND METHODS - A total of 636 nonpregnant women with diabetes (type 1 and type 2) who were 18-75 years of age and had no abnormalities of the urinary tract, and 153 women without diabetes who were visiting the eye and trauma outpatient clinic (control subjects) were included. We defined ASB as the presence of at least 10(5) colony-forming units/ml of 1 or 2 bacterial species in a culture of clean-voided midstream urine From an individual without symptoms of a urinary tract infection (UTI).

RESULTS - The prevalence of ASB was 26% in the diabetic women and 6% in the control subjects (P <0.001). The prevalence of ASB in women with type 1 diabetes was 21%. Risk factors For ASB in type 1 diabetic women included a longer duration of diabetes. peripheral neuropathy, and macroalbuminuria. The prevalence of ASB was 29%, in women with type 2 diabetes. Risk factors for ASB in type 2 diabetic women included age, macroalbuminuria. a lower BMI. and a UTI during the previous year. No association was evident between current HbA(1c) level and the presence of ASB.

CONCLUSIONS - The prevalence of ASB is increased in women with diabetes and might he added to the list of diabetic complications in these women.

Original languageEnglish
Pages (from-to)744-749
Number of pages6
JournalDiabetes Care
Volume23
Issue number6
Publication statusPublished - Jun-2000

Keywords

  • URINARY-TRACT INFECTIONS
  • SPERMICIDE-COATED CONDOMS
  • RISK-FACTORS
  • ENDOTHELIAL DYSFUNCTION
  • AUTONOMIC NEUROPATHY
  • NERVE FUNCTION
  • YOUNG-WOMEN
  • MELLITUS
  • ASSOCIATION

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