URINARY TRACT INFECTION IN PATIENTS WITH CHRONIC RENAL FAILURE DUE TO DIABETIC NEPHROPATHY
1986 Volume 77 Issue 8 Pages 1343-1348
Details
1986 Volume 77 Issue 8 Pages 1343-1348
The frequency and characteristic of bacteriuria, pyuria and urinary tract infection (UTI) in 105 patients with chronic renal failure due to diabetic nephropathy, including 50 nonhemodialysis cases and 55 hemodialysis cases were studied.
1. In 50 nonhemodialysis patients, bacteriuria, pyuria and UTI were present in 17 cases (34.0%), 13 cases (26.0%) and 9 cases (18.0%), including 5 cases (10.0%) of symptomatic UTI, respectively. Bacteriuria and pyuria were more frequent in female patients than in male.
2. In 55 hemodialysis patients, bacteriuria, pyuria and UTI were present in 29 cases (52.7%), 30 cases (54.5%) and 25 cases (45.5%), including 11 cases (20.0%) of symptomatic UTI, respectively. UTI was more frequent in female patients than in male.
3. In hemodialysis cases, bacteriuria, pyuria and UTI were more frequent in patients whose daily urine output was 100-300ml and the frequencies of bacteriuria, pyuria and UTI decreased with increasing urine output.
4. In nonhemodialysis cases, bacteriuria, pyuria and UTI were more frequent in cases with glucosuria than in cases without glucosuria. In hemodialysis cases, these pathological conditions were more frequent in cases without glucosuria than in those with glucosuria. But, no significant difference was seen in the frequencies of bacteriuria, pyuria and UTI between cases with glucosuria and those without glucosuria.
5. In 17 nonhemodialysis patients with bacteriuria, single and mixed infections were present in 10 and 7 cases respectively. In single infection cases, the pathogens were Enterococcus in two cases, Morganella morganii in two cases, and Candida sp in two cases. Other organisms were E. coli, group B Streptococcus, Pseudomonas putida and Corynebacterium sp. In 29 hemodialysis patients with bacteriuria, single and mixed infections were present in 15 and 14 cases, respectively. In single infection cases, the pathogen was Candida sp in seven cases. Other organisms were E. coli, Enterococcus, Serratia marcescens, Psendomonas aerginosa and Morgonella morganii.
