FLORA-INFEKSIYON HASTALIKLARI VE KLINIK MIKROBIYOLOJI DERGISI, cilt.6, sa.4, ss.240-248, 2001 (SCI-Expanded)
diyabetin süresi aras›ndaki iliflkiyi ileriye dönük incelemeyi amaçlad›k. Çal›flmaya, yafllar› 19-78 (y›l) aras›nda de¤iflen 75’i kad›n, 25’i erkek 100 diyabetik hasta ile üriner yak›nmalar› olmayan ve infeksiyon d›fl› nedenlerle iç hastal›klar› bölümüne baflvuran 75’i kad›n 25’i erkek 100 hasta (kontrol grubu) al›nd›. ASB tespiti için
hastalardan 24 saat ara ile 2 adet orta ak›m idrar örne¤i al›narak ekildi. Üriner sistem infeksiyon semptomu
olmaks›z›n her 2 idrar örne¤inin mL’sinde 105 koloni ve/veya üzerinde ayn› bakterinin üremesi ASB olarak
tan›mland›. Diyabetli hastalarda ASB s›kl›¤› %26 (kad›nlarda %30.7, erkeklerde %12.0), kontrol grubunda ise
%7 (kad›nlarda %9, erkeklerde %4) idi (p< 0.05). Diyabetik kad›nlar ile diyabetik olmayan kad›nlar aras›ndaki
ASB fark› istatistiksel aç›dan anlaml› olmas›na ra¤men (p< 0.05), diyabetik erkekler ile diyabetik olmayan erkekler aras›nda anlaml› de¤ildi (p> 0.05). Diyabetik hastalarda diyabet süresinin artmas›yla ASB oran›n›n da
belirgin olarak artt›¤› gözlendi (p< 0.05). Sonuç olarak, diyabetik hastalardaki ASB s›kl›¤› diyabetik olmayanlara göre daha fazla orandad›r. Bu sebeple; özellikle yafll› ve diyabet yafl› ileri olan diyabetik hastalar›n ASB yönünden araflt›r›lmas› gerekti¤ini, bu hastalardaki ASB’de tedavi uygulamas›n›n kararlaflt›r›labilmesi için daha fazla say›da araflt›rman›n gerekli oldu¤unu düflünmekteyiz.
In this study we aimed to find out the frequency of asymptomatic bacteriuria (ASB), relation between
bacteriuria and duration of diabetes in patients with diabetes mellitus (DM) prospectively. A total of 100 diabetic patients (75 female, 25 male) who were 19-78 years of age and 100 nondiabetic patients (75 female,
25 male) applying to the Department of Internal Medicine without having urinary tract infection (UTI) symptoms but for reasons other than infection (control subjects) were included. Two clean-catch midstream urine samples of the patients were obtained and cultured for the evaluation of ASB with an interval of twentyfour hours. ASB was defined as the same bacteria growing ≥ 105 colony forming units (cfu) per ml of both urine samples in the absence of UTI symptoms. Frequency of ASB was 26% (30.7% in women, 12.0% in men) in
the diabetic patients and 7% (9% in women, 4% in men) in the control group (p< 0.05). Although the difference of ASB between diabetic and nondiabetic women was statistically significant (p< 0.05), it wasn’t sig-nificant between diabetic and nondiabetic men (p> 0.05). It was observed that the frequency of ASB increased significantly by increasing the duration of DM in diabetic patients (p< 0.05). In conclusion, the frequency
of ASB in diabetic patients is higher than nondiabetics. For this reason, we think that the diabetic patients
who are older and have longer duration of diabetes should be searched for ASB and, in order to decide for
ASB treatment, further studies are necessary