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Research Article Open access CC BY 4.0

Asymptomatic Bacteriuria with Escherichia coli in Type 2 Diabetic Patients: An Unresolved Riddle

Archana Deraje, Shalini Shenoy, B. Dhanshree, Prabha Adhikari

Journal of Advances in Medicine and Medical Research · pp. 1–9 · Published 22 Sep 2015

10.9734/BJMMR/2016/20800

Abstract

Asymptomatic bacteriuria (ASB) is a common finding, but there is a considerable controversy about the appropriate management of bacteriuria. ASB was found to be three times higher in patients with diabetes, especially in women when compared to non-diabetic counterpart. Asymptomatic bacteriuria is the presence of bacteria in the urine presenting without any clinical symptoms of UTI. The objective of this review is to highlight the studies done on ASB in diabetes patients with special reference to Escherichia coli (E. coli), risk factors and its management. The review showed that increasing age, females, post-menopausal status, poor glycaemic control, long duration of diabetes, microalbuminuria, leukocyturia ,poor hygiene were associated with ASB. Available literature does not support the use of antibiotics, however short term trials have shown benefit with topical esteriol. Further clinical trials are needed.

Asymptomatic bacteriuria E. coli type 2 diabetes mellitus risk factor management

Cited by 2

Novel human microbe-disease associations inference based on network consistency projection

Shuai Zou, Jingpu Zhang, Zuping Zhang · Scientific Reports · 2018

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