Incidence of Citrobacter Urinary Tract Infection in Type 2 Diabetes and its Relationship to Glycemic Control
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Citrobacter species of the Enterobacteriaceae family, are gram negative bacilli that are commonly found in the intestinal tract. This study aimed to determine the incidence of Citrobacter Urinary tract infection in type 2 Diabetes material and methods: A retrospective analytical study was carried out in 221 diabetic patients with culture positive urinary tract infection (UTI) from January 2015 to March 2016. Identification of isolates was done using standard microbiological techniques. Incidence of Citrobacter UTI was identified and its relationship to glycemic control was assessed. Results: 37 patients with Citrobacter UTI were identified.79 percent of these patients had elevated fasting plasma glucose and HbA1C. Citrobacter species was found to be third most common organism causing UTI in diabetic patients after Escherichia coli and Klebsiella accounting for 14.1% of all isolates. C. koseri (82.1%) was the predominant organism among the two Citrobacter species. Conclusions: Though not very common, Citrobacter causes urinary tract infections in diabetic patients.The incidence is more common in diabetes with deteriorating glycemic control.
Authors and Affiliations
Syam D. Gopal, Sumesh Raj
Keywords
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