Abstract 110: Prevalence of asymptomatic bacteriuria in patients with type 2 diabetes mellitus

Introduction: A Recent meta-analysis showed higher prevalence of asymptomatic bacteriuria (ASB) in diabetics compared to healthy controls (12.2% vs 4.5%). Especially women with type 2 diabetes mellitus (T2DM) are prone to develop asymptomatic bacteriuria. A recent study done in northern India estimated the prevalence of ASB as 17.5% in diabetics. In addition, an association between poor glycemic control and higher prevalence of ASB has been reported. Materials and Methods: This is a retrospective cross-sectional study including 2843 patients with T2DM who had visited Endocrinology out-patient services from June 2018 to May 2020 and underwent diabetic medical health check which includes urine chemistry and microscopy. Results: A total of 11.3% (322/2843) of patients were found to have ASB with a higher prevalence among women than men (20% vs 6.9%, p<0.0001). The mean HbA1c of patients with ASB was significantly higher than those without ASB in the total study population (8.64 vs 8.23%, p= 0.003), men (9.02 vs 8.28%; p= 0.0001) but not in women (8.38 vs 8.12%; p=0.168). Conclusion: Prevalence of ASB was higher in women than men with T2DM. However, the association of ASB with poor glycemic control was observed only men with T2DM.