FREQUENCY OF URINARY TRACT INFECTION IN DIABETIC FEMALES

Objective: To determine the frequency of urinary tract infection (UTI) in diabetic females. Material and Methods: This cross sectional study was conducted at Hayat Shaheed Teaching Hospital Peshawar from December 2001 to May 2002. Study included 100 female patients having type 1 or type 2 diabetes mellitus (DM), who were not taking antibiotics for any problem. Those patients who were having 5 pus cells per high power field (phf) on urine microscopy were selected and their mid stream urine sample (MSU) was sent for culture and sensitivity. Those culture reports were considered positive who had colony forming units of 105/ml of urine. We adopted the conventional figures of random blood sugar 200 mg as the criteria for fair glycemic control. Results: Out of 100 female diabetic patients (80 type 2 DM 20 type1 DM) Leukocyturia 5/hpf was present in 33/100 (33%) cases. Out of these 33 cases, positive urine culture report was seen only in 23 (69.7%) cases. Overall frequency of UTI was 23% and the commonest organism isolated was E. coli in 16 urine cultures. In type 2 DM patients, Leukocyturia 5/hpf was present in 27/80 (33.75%) cases and positive urine culture was found in 19/27(70.4%) cases. In type 1 DM patients, Leukocyturia 5/hpf was present in 6/20 (30%) and positive urine culture was found in 4/6 (66.7%) cases. Conclusion: UTI is common in both Type 1 and type 2 diabetes mellitus. Well-designed studies are required to study association of UTI with glycemic control of DM