Prevalence of urinary tract infection and risk factors among Saudi patients with diabetes.

World J Urol

Strategic Center for Diabetes Research, University Diabetes Centre, King Saud University, P.O. Box 245, Riyadh, 11411, Kingdom of Saudi Arabia.

Published: June 2013

AI Article Synopsis

  • The study assessed the prevalence of urinary tract infections (UTI) among 1,000 Saudi diabetic patients, finding an overall UTI rate of 25.3% with a significant gender difference: 7.2% in males and 41.1% in females.
  • Key risk factors for UTI included being female, having a BMI over 30 kg/m², as well as conditions like hypertension, insulin therapy, and nephropathy (microalbuminuria).
  • Age and duration of diabetes did not significantly affect UTI risk, and there was no notable risk increase for patients over 60 years old.

Article Abstract

Purpose: The aim of this study is to assess the prevalence of urinary tract infection (UTI) and its risk factors among Saudi diabetics.

Method: A total of 1,000 diabetic patients were included. Patients were interviewed and examined at each visit every 6 months.

Results: The prevalence of UTI was 25.3 % in total diabetic population and 7.2 and 41.1 % in males and females, respectively. Females have highest risk of UTI (RR = 6.102; CI = 4.343-8.573; P < 0.001). Age, duration of diabetes and HbA1c did not influence the incidence of UTI, while BMI above 30 kg/m(2) increased the risk (RR = 1.722; CI = 1.532-1.935; P < 0.001). The incidence of UTI in both type 1 and 2 diabetics was similar (23.7 and 25.6 %). There was no significant risk in patients aged above 60 years (RR = 1.054; CI = 0.841-1.321; P = 0.651). The risk factors found to be associated with UTI were hypertension (RR = 1.202; CI = 1.061-1.361; P = 0.006), insulin therapy (RR = 1.411; CI = 1.262-1.578; P < 0.001) and nephropathy (microalbuminuria) (RR = 1.417; CI = 1.036-1.939; P = 0.031).

Conclusion: The present study has shown that prevalence of UTI is more in diabetic females and diabetics with BMI above 30 kg/m(2). The other risk factors associated with UTI in general diabetic population were found to be microalbuminuria, hypertension and insulin therapy.

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Source
http://dx.doi.org/10.1007/s00345-012-0934-xDOI Listing

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