Bacteriología urinaria asintomática en mujeres diabéticas tipo 2

Background: Urinary tract infection (UTI) is frequent among diabetics, especially women. It may be preceded by asymptomatic bacteriuria. Aim: To study the frequency of asymptomatic bacteriuria in type 2 diabetic women. Patients and methods: Fifty women with type 2 diabetes and 50 non diabetic women...

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Autores principales:	Mendoza R,Tatiana, García de los Ríos A,Manuel, Lafourcade R,Mónica, Soto P,Cristina, Durruty A,Pilar, Alvo G,Mordo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2002
Materias:	Bacteriuria Diabetes mellitus non-insulin dependent Urinary tract infections
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000900006
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spelling	oai:scielo:S0034-988720020009000062005-11-29Bacteriología urinaria asintomática en mujeres diabéticas tipo 2Mendoza R,TatianaGarcía de los Ríos A,ManuelLafourcade R,MónicaSoto P,CristinaDurruty A,PilarAlvo G,Mordo Bacteriuria Diabetes mellitus non-insulin dependent Urinary tract infections Background: Urinary tract infection (UTI) is frequent among diabetics, especially women. It may be preceded by asymptomatic bacteriuria. Aim: To study the frequency of asymptomatic bacteriuria in type 2 diabetic women. Patients and methods: Fifty women with type 2 diabetes and 50 non diabetic women were studied. In aseptic conditions, morning midstream urine specimens were obtained for microbiological analysis. The test was repeated in similar conditions during consecutive days. Urine samples were cultured in blood agar, Mac Conkey agar and CPS ID 2. Colony forming units were counted. Asymptomatic bacteriuria was defined as the presence of 100,000 or more colony forming units per ml. Leukocyturia was also quantified. Results: There was microbial growth in 40% of samples from diabetic women and 6% of samples from controls (p <0.01). Asymptomatic bacteriuria was present in 32% of diabetics and 4% of controls (p <0.01). E Coli was the most frequently isolated strain, in 55% of patients and 100% of controls. Klebsiella pneumoniæ was isolated in 10% of diabetics, coagulase negative Staphylococcus in 10%, Enterococcus spp in 10% and Pseudomonas aeruginosa in 5%. Leukocyturia of more than 10 cells per field, was present in 80% of diabetic women with positive culture. Women with positive cultures had a longer lasting diabetes than those with negative cultures. There was no association between urine microbiological results and glycosilated hemoglobin, fasting blood glucose, chronic complications of diabetes and treatment received. Conclusions: This study shows a high prevalence of asymptomatic bacteriuria among diabetic women (Rev Méd Chile 2002; 130: 1001-7).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.9 20022002-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000900006es10.4067/S0034-98872002000900006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Bacteriuria Diabetes mellitus non-insulin dependent Urinary tract infections
spellingShingle	Bacteriuria Diabetes mellitus non-insulin dependent Urinary tract infections Mendoza R,Tatiana García de los Ríos A,Manuel Lafourcade R,Mónica Soto P,Cristina Durruty A,Pilar Alvo G,Mordo Bacteriología urinaria asintomática en mujeres diabéticas tipo 2
description	Background: Urinary tract infection (UTI) is frequent among diabetics, especially women. It may be preceded by asymptomatic bacteriuria. Aim: To study the frequency of asymptomatic bacteriuria in type 2 diabetic women. Patients and methods: Fifty women with type 2 diabetes and 50 non diabetic women were studied. In aseptic conditions, morning midstream urine specimens were obtained for microbiological analysis. The test was repeated in similar conditions during consecutive days. Urine samples were cultured in blood agar, Mac Conkey agar and CPS ID 2. Colony forming units were counted. Asymptomatic bacteriuria was defined as the presence of 100,000 or more colony forming units per ml. Leukocyturia was also quantified. Results: There was microbial growth in 40% of samples from diabetic women and 6% of samples from controls (p <0.01). Asymptomatic bacteriuria was present in 32% of diabetics and 4% of controls (p <0.01). E Coli was the most frequently isolated strain, in 55% of patients and 100% of controls. Klebsiella pneumoniæ was isolated in 10% of diabetics, coagulase negative Staphylococcus in 10%, Enterococcus spp in 10% and Pseudomonas aeruginosa in 5%. Leukocyturia of more than 10 cells per field, was present in 80% of diabetic women with positive culture. Women with positive cultures had a longer lasting diabetes than those with negative cultures. There was no association between urine microbiological results and glycosilated hemoglobin, fasting blood glucose, chronic complications of diabetes and treatment received. Conclusions: This study shows a high prevalence of asymptomatic bacteriuria among diabetic women (Rev Méd Chile 2002; 130: 1001-7).
author	Mendoza R,Tatiana García de los Ríos A,Manuel Lafourcade R,Mónica Soto P,Cristina Durruty A,Pilar Alvo G,Mordo
author_facet	Mendoza R,Tatiana García de los Ríos A,Manuel Lafourcade R,Mónica Soto P,Cristina Durruty A,Pilar Alvo G,Mordo
author_sort	Mendoza R,Tatiana
title	Bacteriología urinaria asintomática en mujeres diabéticas tipo 2
title_short	Bacteriología urinaria asintomática en mujeres diabéticas tipo 2
title_full	Bacteriología urinaria asintomática en mujeres diabéticas tipo 2
title_fullStr	Bacteriología urinaria asintomática en mujeres diabéticas tipo 2
title_full_unstemmed	Bacteriología urinaria asintomática en mujeres diabéticas tipo 2
title_sort	bacteriología urinaria asintomática en mujeres diabéticas tipo 2
publisher	Sociedad Médica de Santiago
publishDate	2002
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000900006
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Bacteriología urinaria asintomática en mujeres diabéticas tipo 2

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