The effect of diabetes mellitus on incidence of urinary tract infection

Abstract

Urinary tract infections (UTI) are common in diabetic patients. The propensity of the infection may vary in different individuals especially when there is underreporting from the patients having a risk of acquiring infections. This study was based on the effect of diabetes mellitus on incidence of urinary tract infection. This study targeted 120 cases of urinary tract infection patients in Rizgari hospital in Erbil city during the period from October - 2014 to March 2015, of which 75 were diagnosed with Diabetes Mellitus. All urine samples were processed in the laboratory following standard laboratory protocol. The infection was diagnosed by microscopic examination of urine samples and urine culture. Blood glucose level used for confirmation and follow-up of diabetes mellitus. The data about the patients such as gender, residence area, age and occupation were also collected by using a specially designed questionnaire prepared for this purpose. Results showed that diabetes has a high effect on the frequency of UTI. Other risk factors including gender, age and socioeconomic status may affect the incidence of UTI independent of Diabetes Mellitus. Escherichia coli is the predominant microorganism that causes UTI in patients independent to diabetes mellitus followed by Klebsiella spp. The antibiogram indicated that the Gram positive bacteria was towards Gentamicin, and the highest resistance was to Nitrofurantoin. While the highest sensitivity of Gram negative bacteria was toward Imipenem, and the highest resistance was to Ceftriaxone. Therefore, th