ABSTRACT
Diabetes mellitus is one of the most challenging heath problems of the 21st century and is leading cause of death in developed countries. Urinary tract infections are one of the most frequent bacterial infections encountered in diabetes mellitus. We wanted to determine the common pathogens causing urinary tract infection in diabetic patients and their antibiotic resistance pattern. METHODSA total of 550 mid-stream clean catched urine samples were subjected to macroscopic examination, wet film examination, Gram staining, and semi-quantitative culture methods. HiCrome agar was used for early identification of isolates. Samples were inoculated on 5% blood agar, CLED agar and MacConkey agar. Isolates were identified by standard laboratory procedures. RESULTSIn this study, 284 isolates were obtained, and the most common organisms isolated were E. coli. Klebsiella and Proteus species. Gram positive isolates were Enterococcus and MRSA. Patients with diabetes are more prone to have resistant pathogen. CONCLUSIONSThis study concluded that the prevalence of urinary tract infection is higher in females compared to males in diabetes. Gram stain was found to be the best screening test with high sesitivity and specificity. Wet film has comparatively low sesitivity and specificity. It is essential that culture should be done for all samples in diabetes to decrease the morbidity and prevent the occurrence of complications.