Background:
@EN The majority of investigators have reported that the prevalence of asymptomatic bacteriuria is higher in diabetic women than in nondiabetic women. Several promoters of bacteriuria have been suggested in the diabetic host, such as glycosuria,
immune
defence defects or autonomic neuropathy, affecting bladder and unethral function.
@ES Methods:
@EN The Prevalence of asymptomatic bacteriuria was studied in 279 diabetic patients and 182 nondiabetic controls. the possible role of host factors such as glycosylated hemoglobin, duraqtion of diabetes mellitus, cardiovascular autonomic reflex,
diabetic microangiopathies, was also assessed in diabetic patients with or without bacteriuria.
@ES Results:
@EN: The prevalence of asymptomatic bacteriuria was significantly higher in diabetic women than in nondiabetic controls(15.8 vs 1.5%, p<0.001), but not higher in diabetic menEscherichia coli was found in 70.3% of urine culture with significant
growth
from diabetic patients. Risk of asymptomatic bacteriuria was not related to the level of glycosylated hemoglobin(HbA1), mean duration of diabetes mellitus, diabetic nephropathy or retinopathy.
Abnormalities of cardiovascular autonomic function and diabetic neuropathy were more common in diabetic patients with bacteriuria than in those without bacteriuria.
@ES Conclusion:
@EN These results suggest that diabetic patients with abnormal cardiovascular reflex test and autonomic neuropathy appear to be at increased risk of developing bacteriuria. Further study is necessary to determine the relationship between
cardiovascular
test of autonomic function and autonomic abnormalities in other systems, especlally involving bladder lnnervation.
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