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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Assessment of Prevalence and Associated Risk Factors of Urinary Tract Infection among Diabetic Patients in a Tertiary Care Centre

T.G. Ramya, Meghna Mohan, S. Pravin Dass and V. Balaji Tulse Dass
Page: 563-567 | Received 12 May 2024, Published online: 28 Jun 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.7.563.567

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Abstract

To assess the prevalence and associated risk factors of urinary tract infection among diabetic patients. One hundred two patients, aged 18 to 60 years diagnosed with Type I, Type II and gestational diabetes of both genders were enrolled. Parameters such as BMI, educational qualification, and clinical profiles of DM and UTI were recorded. Other risk factors of UTI infection were also recorded. Demographic analysis showed that8 patients were in the age group of 18‐28 years,22 patients were in the age group of 28‐38 years, 42 patients were in the age group of 38‐48 years and30 patients were in the age group of 48‐60 years. The difference was significant (P< 0.05). Out of the 102 patients enrolled,32 were illiterate, 38 attended primary school, 18 attended secondary school and 14 patients were graduates. The prevalence of Type I DM in this study was 24.5%, TypeIIDM was seen in 58.8% and gestational diabetes was noted in16.6%.Duration of DM was <5 years in 26 patients, 5‐10 years in 52patients and >10 years in 24 patients. BMI was <25 in 35 patients, 26‐35 in 11 patients and >36 in 56 patients. HbA1C was increased in 76 patients and normal in 26 patients. Uropathogens isolated were E. Coli in 59, Klebsiella spp. in 12, Citrobacter spp. in 7, Proteus spp. in 3, E. faecalis in 17 and S. aureus in 4 patients. The difference was significant (P<0.05). UTI was present among 45 (46%) patients. Symptoms of UTI was abdominal pain in 32, frequent micturition in 15, burning micturition in 42, high fever in 18, loin pain in 13, and nausea and vomiting in 27. Complications were seen among 18 patients. The difference was significant (P< 0.05). Crude odds ratio (COR) for risk factors of UTI was female gender (2.67), marital status single (0.58), educational level illiterate (1.03), Type of diabetes Type II (1.27), BMI>36 (2.84). The female gender has a higher risk of UTIs among people with diabetes. Other risk factors were high BMI, Type II Diabetes, uncontrolled DM., Higher HbA1C values and illiteracy. High HbA1c is associated with increased urinary tract infection.

How to cite this article:

T.G. Ramya, Meghna Mohan, S. Pravin Dass and V. Balaji Tulse Dass. Assessment of Prevalence and Associated Risk Factors of Urinary Tract Infection among Diabetic Patients in a Tertiary Care Centre.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.563.567
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.563.567