Please use this identifier to cite or link to this item: https://www.um.edu.mt/library/oar/handle/123456789/22186
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dc.contributor.authorMadjova, Valentina-
dc.contributor.authorTodorova, Valentina-
dc.contributor.authorAssenova, R.-
dc.contributor.authorKonstantinov, P.-
dc.date.accessioned2017-10-03T08:38:19Z-
dc.date.available2017-10-03T08:38:19Z-
dc.date.issued2003-12-
dc.identifier.citationMadjova, V., Todorova, V., Assenova, R., & Konstantinov, P. (2003). The clinical significance of urinary tract infection and Asymptomatic Bacteriuria in Type 2 Diabetes Mellitus patients in the general practices of Varna region - Bulgaria. The Family Physician : It-Tabib tal-Familja, 24, 19-22.en_GB
dc.identifier.urihttps://www.um.edu.mt/library/oar//handle/123456789/22186-
dc.description.abstractBackground: The urinary system of diabetics is one of their most frequently affected body systems. Periodic urine analysis reveals that asymptomatic bacteriuria is very often detected in this population. Objectives: The aim of the study is to estimate the clinical significance of upper urinary tract infection (UUT/) and asymptomatic bacteriuria (ABU) in diabetics in a general practice setting, their clinical characteristics, incidence, course, evolution and complications. Methods: We tested 560 patients with type 2 diabetes mellitus (DM) from 12 general practices ofVarna region, Bulgaria in a prospective study. We traced ABU in the group for 2 years. There were 310 female patients (55.4%) mean age 52.5 ± 3.2 years and duration of DM was 8.5 ± 2.8 years. Results: The results showed that in 11.14% ABU was significant. Only 4.82% of diabetics developed upper urinary tract infection and the complications from it were very rare: 0.89% pyonephrosis and 0.89% sepsis. Conclusions: Our conclusion was that upper urinary tract infection in diabetics was not as severe as reported in the literature. Pyelonephritis had a benign course and only 16.6% of our patients developed chronic renal failure a few years later but the reason for its development was not diabetic nephropathy. All these facts show that ABU disappears spontaneously in most diabetics. Relevance to general practice: We discuss the question: is it necessary for every case of ABU in diabetics in general practice to be treated and isn't it time to revaluate the postulated antibiotic treatment for diabetics with ABU?en_GB
dc.language.isoenen_GB
dc.publisherMalta College of Family Doctorsen_GB
dc.rightsinfo:eu-repo/semantics/openAccessen_GB
dc.subjectUrinary tract infections -- Diagnosisen_GB
dc.subjectNon-insulin-dependent diabetesen_GB
dc.subjectDiabetics -- Careen_GB
dc.subjectPhysicians (General practice) -- Bulgariaen_GB
dc.titleThe clinical significance of urinary tract infection and Asymptomatic Bacteriuria in Type 2 Diabetes Mellitus patients in the general practices of Varna region - Bulgariaen_GB
dc.typearticleen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.description.reviewedpeer-revieweden_GB
dc.publication.titleThe Family Physician : It-Tabib tal-Familjaen_GB
Appears in Collections:The Family Physician : It-Tabib tal-Familja, Issue 24
The Family Physician : It-Tabib tal-Familja, Issue 24

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