Leukocyturia in Women with Diabetes and Its Clinical Implications
| Autor: | Juan J Calva-Mercado, Enrique Lara, Cristina Martı́nez-Sibaja, Israel Lerman-Garber, Ivonne Villalobos, Rosa Ma Sánchez-Javier, Carlos Fernández del Castillo, Francisco J. Gómez-Pérez |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
medicine.medical_specialty Bacteriuria Urinalysis Attitude of Health Personnel Urinary system Papanicolaou stain Comorbidity Urine Diabetes Complications Leukocyte Count Internal medicine Diabetes mellitus Diabetes Mellitus Prevalence medicine Humans Clinical significance Practice Patterns Physicians' Aged Urine cytology Gynecology medicine.diagnostic_test business.industry General Medicine Middle Aged medicine.disease Drug Utilization Anti-Bacterial Agents Uterine Cervicitis Urinary Tract Infections Female Disease Susceptibility business |
| Zdroj: | Archives of Medical Research. 31:210-215 |
| ISSN: | 0188-4409 |
| Popis: | Urinalysis is one of the most common studies performed on the diabetic patient at every visit. The presence of leukocyturia is relatively common but it is not clear what the attitude of the physician toward this particular finding should be. The main objective of the present study was to investigate the clinical significance of leukocyturia in diabetic women.Ninety-eight diabetic women (84.7% type 2) aged 57 +/- 13 years who were being seen at the diabetic out-patient clinic were randomly selected. All patients underwent a clinical and gynecologic examination and a urinalysis. A Papanicolaou smear and a urine culture were also obtained.The overall prevalence of leukocyturia (5 cells/high power field (hpf)) was 46.5%. Patients with urinary tract infections (UTI) were 7.5 times more likely to have leukocyturia, while a leukocyte count5cells/hpf predicted the absence of UTI in 96% of the women. In the comparison of patients with and without leukocyturia, we found that proteinuria (p = 0.06) and bacteriuria (p0.002) were more common in the women with leukocyturia. A significant association with leukorrhea was not demonstrated. The empirical use of antibiotics was 12 times more frequent in the patients with leukocyturia.A urinary culture should be requested in all diabetic patients with leukocyturia. The possibility of a UTI is remote when leukocyturia is absent. |
| Databáze: | OpenAIRE |
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