Epidemiology of Asymptomatic Bacteriuria among diabetic patients in Tikrit City, Iraq

Abstract

Objectives: This study aimed to show the Epidemiology of Asymptomatic Bacteriuria among diabetic patients in Tikrit City, Iraq. Methods: A cross sectional study was conducted in Tikrit city among diabetic and non-diabetic patients from General Salahalddin Hospital and from outpatient clinics. This study conduct 270 persons, including 155 diabetes sufferers and 115 non-diabetics. Consented subjects had their mid-stream urine collected, and each sample was examined using microscopy and culture techniques. Standard microbiological assays to determine the presence of pus cells and bacteria in urine were used to identify isolates. Results: Asymptomatic Bacteriuria (ASB) was found in 21.5 % of subjects, with diabetics having 26.4 % and non-diabetics having 14.8 %. ASB is higher in the age group above 51 years 29 (50%), Females 51 (88%) demonstrated a higher prevalence than males 7(12%) in both diabetic and non-diabetic groups. Staphylococcus epidermidis was the most common bacterium isolated from urine in both diabetics and non-diabetics (22.4 %). Other bacterium isolates included E. coli (19%) , Enterococcus fecalis (13.7%), Klebsiella pneumonia (12%), and Enterobacter sp (12%), Staph aureus (10.3%), Staph saprophyticus (6.8%), Pseudomonas aerogenosa (3.4%). The most of isolated microorganisms were resistance to gentamycin, trimethoprim and cefotrixone. Levofloxacin and ciprofloxacin were the most sensitive to uropathogens caused by bacteria . Conclusion: Diabetic sufferers had a higher prevalence of ASB (26.4%) than non-diabetics, according to the study (14.8 %). The majority of ASB was caused by Staphylococcus sp, indicating a shift in the aetiologic spectrum. The majority of isolates demonstrated multiple resistance in both diabetics and non-diabetics, indicating the necessity to increase antibiotic sensitization in Tikrit.