Bacteriuria asintomática y su relación con mal control glicémico en pacientes diabéticos tipo 2 en un hospital de Callao, Perú

Abstract

Objective: To determine the relationship between bad glycemic control and asymptomatic bacteriuria (AB) in type 2 diabetic patients. Materials and Methods: a cross-sectional study, including 356 diabetic patients treated at NationalHospital Alberto Sabogal Sologuren (HNASS) during the years 2011 and 2012. The variables are asymptomatic bacteriuria, Hemoglobin A glycosylated (HbA1c), serum creatinine, microalbuminuria, time to diagnosis, date last menstrual period, history of prostate pathology and urinary incontinence were obtained from medical records. Results: From 356 patients with DM2 was found 51.9% presence of AB in the study population. Association was found between HbA1c greater than or equal to 6.5% and AB (PR= 3.4, CI95% 2.2 – 5.2). In addition, male gender was found between AB and prostatic syndrome (p <0.05). In multivariate analysis, the variable metabolic control adjusted for BMI variables, gender and time of diagnosis of type 2 diabetes mellitus was associated with AB (PR = 3.3, CI 95% 2.2 – 5). Conclusions: elevated HbA1c values were associated with the presence of AB, so we recommend keeping HbA1c levels <6.5% because AB may predispose the patient to urinary tract infection and possible kidney damage.