Asymptomatic bacteriuria in women with diabetes mellitus - Effect on renal function after 6 years of follow-up
| Autor: | Peter M. Schneeberger, Suzanne E. Geerlings, Andy I. M. Hoepelman, Patrick M. Netten, Ronald P. Stolk, Ruby Meiland |
|---|---|
| Přispěvatelé: | Life Course Epidemiology (LCE), Lifestyle Medicine (LM), Amsterdam institute for Infection and Immunity, Amsterdam Public Health, Infectious diseases |
| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Bacteriuria Urology Renal function GUIDELINES Asymptomatic URINARY-TRACT-INFECTIONS Risk Factors Internal medicine Diabetes Mellitus Prevalence Internal Medicine medicine Humans Aged Netherlands Chi-Square Distribution business.industry Odds ratio Middle Aged medicine.disease Confidence interval Endocrinology ESCHERICHIA-COLI Hypertension RISK-FACTORS Regression Analysis Female Kidney Diseases Microalbuminuria medicine.symptom business Chi-squared distribution Follow-Up Studies Kidney disease |
| Zdroj: | Archives of Internal Medicine, 166(20), 2222-2227. AMER MEDICAL ASSOC Archives of internal medicine, 166(20), 2222-2227. American Medical Association |
| ISSN: | 0003-9926 |
| Popis: | Background: The long-term consequences of asymptomatic bacteriuria (ASB) on renal function in women with diabetes mellitus (DM) are unknown.Methods: A prospective study was performed among women with type 1 or type 2 DM. Women with ASB (diagnosis based on findings from 1 urine culture specimen) were compared with women without ASB for differences in renal function development and incidence of hypertension.Results: A total of 644 women were included in the study (296 with type 1 DM and 348 with type 2 DM; mean [SD] age, 51 [15] years) and followed up for a mean (SD) duration of 6.1 (1.9) years. The prevalence of ASB was 17%. In women with DM and ASB, the creatinine clearance decreased from 87 mL/min (1.45 mL/s) at baseline to 76 mL/min (1.27 mL/s) at study end point; in women with DM without ASB the creatinine clearance decreased from 97 to 88 mL/min (from 1.62 to 1.47 mL/s). In the multivariate analyses, adjusted for age, length of follow- up, duration of DM, and microalbuminuria at baseline, no association was found between ASB and the relative or the absolute decrease in creatinine clearance; the same results were shown also when women with DM type 1 and women with DM type 2 were analyzed separately. Women with ASB developed hypertension more often than women without ASB (54% vs 37%; P=. 045), but there was no significant association in the multivariate analysis ( odds ratio, 1.5; 95% confidence interval, 0.7-3.6).Conclusion: Women with DM (type 1 or type 2) with ASB do not have an increased risk for a faster decline in renal function or the development of hypertension after 6 years of follow-up. |
| Databáze: | OpenAIRE |
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