Frequency of Uropathogens in Patients Admitted with Urinary TractInfection and Diabetes Mellitus

Authors

Abstract

Objective: We aimed to identify and classify the specific uropathogens responsible for UTIs in patients with DM who require hospitalization and to determine the prevalence of urinary tract infections (UTIs) in patients admitted to healthcare facilities with coexisting Diabetes Mellitus (DM).

Methods

The prospective study conducted at Fatima Memorial Hospital in Lahore, Pakistan (November 2023 to January 2024) involved 116 participants recruited through Non-Probability Sampling. Data analysis utilized IBM SPSS version 26. Descriptive analysis covered variables (age, gender, UTI symptoms and urine culture reports). Categorical variables (e.g., gender, UTI symptoms and organisms in culture reports) were presented as frequencies and percentages using pie and bar charts. Quantitative variable age, was expressed as meanĀ±SD.

Results

 Involving 116 participants (31% male, 69% female, average age 45.20, SD = 21.16), urine analysis revealed Escherichia coli (48.3%), Enterococcus Faecium (13.8%), Candida Tropicalis (5.2%), and 32.8% with no growth. Common symptoms include fever (49.1%), dysuria (63.8%), urgency (87.9%), and lower abdominal pain (66.4%).

Conclusion

  Urinary tract infections (UTIs) are highly prevalent in patients with type 1 and type 2 diabetes mellitus. These infections tend to be more severe and are caused by pathogens with higher resistance levels. Our study of 116 participants revealed a significant female predominance in UTI cases for both diabetes types. The most common uropathogen was Escherichia coli, followed by Enterococcus faecium and Candida tropicalis. These findings provide a comprehensive understanding of UTIs in diabetic patients and contribute to more effective clinical outcomes.

Keywords:

Diabetes Mellitus, Urinary tract infection, Uropathogens frequency, Escherichia Coli, Enterococcus faecium, Candida Tropicalis.

Published

2025/03/10