Studying the Clinical and Microbiological Elements of UTI in People with Diabetes Mellitus

Abstract

Aim: To examine the clinical and microbiological characteristics of UTI as well as the pattern of antibiotic susceptibility for isolated organisms in people with diabetes mellitus. Methods: On 490 consecutive individuals with a confirmed UTI, prospective research was conducted. Hospital records and a special questionnaire were used to study the patients. Results: 89 patients (18.1%) of the 490 that were enrolled had diabetes mellitus. The mean ages of people with diabetes and those without it were 64.9 B 13.2 (SD) and 54.4 B 23.3, respectively. The majority of diabetics experienced asymptomatic bacteriuria and had more frequent bladder catheterizations than non-diabetics. Proteus sp. (7.9% vs. 7.2%), Pseudomonas sp. (6.7 vs. 8.2%), and Enterococcus sp. (6.7 vs. 7.2%) were the most common causes of UTI in diabetics and nondiabetics, respectively. For gentamicin, piperacillin, and norfloxacin, more than 50% of the isolated Pseudonomas sp. strains in both groups tested positive. During the follow-up period, both diabetics (52.8%) and non-diabetics (42.2%) experienced recurrent UTI; however, the difference in occurrences failed to achieve statistical significance. Conclusion: Except for the fact that diabetics have bladder catheterization more frequently than non-diabetics do, there were no discernible differences in the epidemiological, clinical, or microbiological characteristics of diabetics and non-diabetics.