Background:
Diabetic subjects, especially
women, show high
prevalence of asymptomatic
bacteriuria (ASB). The aim of the present study was to evaluate the
prevalence of asymptomatic
bacteriuria (ASB) in
patients with
type 2 diabetes mellitus and to find out the
antibiotic sensitivity pattern of bacterial isolates.
Methods:
One hundred and thirty type 2 diabetics comprising 56
males and 74
females (
aged between 30 - 59 years) attending the
outpatient department of Chhattisgarh Institute of Medical
sciences hospital, Chhattisgarh,
India was recruited in the study. Mid-
stream urines were collected from
patients aseptically into sterile wide
mouth container and examined microscopically, culturally using standard
techniques and tested for
glucose, post-prandial
glucose,
protein and
ketone using a dipstick. Samples were cultured on
blood agar, McConkey
agar and
Cysteine Lactose Electrolyte Deficient (CLED) media and incubated at 37°C aerobically for 24 h. Isolates were tested against
antibiotics which included
tetracycline,
chloramphenicol,
ciprofloxacin and
cotrimoxazole by the disc
diffusion method.
Results:
Significant
bacteriuria was observed in Forty-seven (36.15%) of
urine samples (34
females and 13
males) .
Bacteria isolated included
Escherichia coli (56.9%),
Enterobacter sp. (12.7%),
Klebsiella pneumoniae (8.5%) and
Proteus sp. (6.3%). E. coli,
Enterobacter sp. K. pneumoniae, S. aureus and
Proteus sp. were most sensitive to cotrimazaxole,
amoxicillin,
nalidixic acid and
ciprofloxacin but a large number of
bacteria were resistant to
tetracycline,
chloramphenicol and
ampicillin.
Conclusion:
Screening for ASB is necessary in diabetic
patients especially if
pyuria is detected in
urine analysis since ASB has been found to be a
risk factor for developing symptomatic
urinary tract infection.