Comparative study of common organism growth in urinary tract infection in type I and type II diabetes mellitus among womens in Salem District

ABSTRACT

Background: Specifically asymptomatic bacteriuria occurring in diabetes mellitus can cause serious complications like renal and perirenal abscess, gas forming infections such as emphysematous pyelonephritis and cystitis, fungal infections, xanthogranulomatous pyelonephritis, and renal papillary necrosis. Though there is no consensus on the treatment of asymptomatic bacteriuria in various population groups, it is reasonable to treat asymptomatic bacteriuria in diabetes mellitus patients because of its potential complications. The aim of the study To compare the common organism growth in type I and type II diabetes mellitus among womens. Materials and methods: 150 Diabetes mellitus patients without any urinary complaints such as dysuria, frequency, urgency, strangury, tenesmus, nocturia, nocturnal enuresis, incontinence, urethral pain, bladder pain, renal colic, who attended diabetology department as outpatients and in patients in various wards of Govt. Government Mohan Kumuramanglam Medical College, between 2015- 2016 were enrolled for this study. Results: Of the total 150 patients in study group 44 patients had a positive urine culture in two consecutive urine samples. Most of the patients had blood sugar levels between 151 mg% to 250 mg%. 60% of patients had blood sugar in that range. Another 20% of patients had blood sugar valve between 251 mg% to 300 mg%. In the study group, 25 cases were Escherichia coli isolates. Next S. Palanivel Rajan, I.V. Priyamvadha. Comparative study of common organism growth in urinary tract infection in type I and type II diabetes mellitus among womens in Salem District. IAIM, 2019; 6(4) 9-13. Page 10 common pathogen was Klebsiella (15 cases). There was no significant correlation in renal profile in type 1 and type 11 diabetes mellitus. Conclusion: High incidence of asymptomatic bacteriuria has been observed in Diabetic woman. High incidence of asymptomatic bacteriuria occur in both Type I Diabetes Mellitus and Type Diabetes Mellitus. Causative organisms in diabetic and non-diabetic asymptomatic bacteriuria are similar. E.coli is the commonest organism.