alexa Asymptomatic Pyuria among Diabetes

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Asymptomatic Pyuria among Diabetes

Even though it is believed that diabetics are predisposed to recurrent infections, only bacteriuria can be recorded as occurring in increased frequency among diabetics as compared to non-diabetics. Asymptomatic Bacteriuria (ASB) is often neglected problem among both patients and health provider. It is more common among females than in males. There is roughly five-fold greater propensity toward Urinary Tract Infection (UTI) in diabetic women. Asymptomatic Bacteriuria often precedes symptomatic UTI in type 2 diabetes (relative risk [RR] 1.65, 95 percent confidence interval [CI] 1.02-2.67). UTIs are likely to be more severe in diabetic than non-diabetic women. Among diabetic women, approximately three to four fold increase in risk of bacteriuria (18% versus 6%, 26% versus 6%). It also increases the risk of subsequent symptomatic UTI. It is also found that diabetics with ASB are more at a risk for albuminuria and symptomatic urinary tract infections. They are prone for severe infections like emphysematous pyelonephritis, papillary necrosis, perinephric abscess and candidial pyelonephritis. Prevalence of Asymptomatic bacteriuria is common among elderly patients in the community, residential aged care facilities and in the hospital setting. The prevalence of ASB increases with age, ranging from 0% in men aged 68-79 years to 5.4% in men aged 90–103 years. This rising prevalence is even more pronounced in women, increasing from 13.6% to 22.4%. Present study aims to measure the prevalence of asymptomatic bacteriuria and pyuria, diagnosed using urine dipstick among diabetics aged 18 years and above in k v Kuppam block, Vellore district of Tamilnadu.

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