ASB in Postmenopausal Women with Type 2 Diabetes Mellitus

Aim: The prevalence of diabetes mellitus DM in India is high& is increasing. Patients with diabetes have a higher risk of infection of the skin, soft tissue& genitourinary tract. ASB in patients with DM has poorer outcomes than in patients without. Since asymptomatic bacteriuria in diabetics can portend ominous complications, our study aimed to estimate the number of cases of ASB in post-menopausal women with DM. Methods Case records of 81 post-menopausal diabetic women from the hospital IP records were surveyed and analysed after obtaining institutional ethical committee clearance. Urine routine and urine culture sensitivity results along with demographic details including age, duration of diabetes, details of treatment, fasting sugars, Hb1ac were noted. Demographic details, sugar levels, duration of diabetes was compared with the positivity of urine culture. Results 49.4 % of diabetic postmenopausal women had ASB. ASB was most common in women above the age of 80& in those with duration of diabetes less than 5 years. The most common organism isolated was E. coli (55 %), followed by Klebsiella pneumoniae (12.5 %). ASB was significantly associated with pyuria, glycosuria, and Hba1c. No significant correlation was found between age, duration of diabetes, treatment of diabetes, and ASB. Conclusion We found that ASB in post-menopausal women with type 2 DM was significantly associated with pyuria, glycosuria, and elevated HbA1C. Since ASB in patients with diabetes can have catastrophic consequences, active measures for prevention& control of ASB may be needed. Including patient education, perineal care& local estrogen cream.