Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo

Umba Nguanga Charlotte; Blaise Makoso Nimi; Gedeon Longo Longo; Benjamin Mbenza Longo

doi:doi:10.11648/j.ejpm.20221004.11

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Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo

Umba Nguanga Charlotte, Blaise Makoso Nimi, Gedeon Longo Longo, Benjamin Mbenza Longo

Published in European Journal of Preventive Medicine (Volume 10, Issue 4)

Received: 29 April 2022 Accepted: 17 May 2022 Published: 5 August 2022

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Abstract

Introduction: Urinary tract infection (UTI) is common in diabetic patients in general, but more so in patients who are not well balanced. The objective of our study was to identify the germs responsible for urinary tract infection and to study their sensitivity to the antibiotics used. Method: This was a retrospective and descriptive study of 212 diabetic patients followed at the Hospital du Cinquantenaire in Kinshasa from January 2019 to December 2021. The diagnosis of urinary tract infection was retained in the presence of positive bacteriuria, i.e. bacteriuria of the jet medium ≥ 105 cfu/ml in women and ≥ 104 cfu/ml in men or bacteriuria of urine collected in an indwelling catheter ≥ 102 cfu/ml. Results: Of the 800 diabetics received, 320 had performed a UEC and of these 212 were positive. The mean age of the patients included in our work was 43.1 ± 12.7 years with extremes of 18 and 77 years. The female sex was more represented (58.4%), i.e. a sex ratio of 01.3. Escherichia coli were the most frequent germ in 36.3% of cases, followed by Klebsiella pneumoniae in 28.8%. The resistance rate was 40% for ampicillin, 60% for amoxicillin, 80% for oxacillin, 71.8% for ceftriaxone and 12.5% for imipenem. As for quinolones, the resistance rate was 82.6% for norfloxacin and 74.1% for ciprofloxacin. Resistance to gentamicin was 66.7%. Resistance rates for cotrimoxazole were 77.8% and 25.9% for nitrofurantoin. Conclusion: Urinary tract infection is a frequent pathology in diabetics. The most isolated germ is Escherichia coli. The rate of bacterial resistance was very high and varied from one study to another.

Published in	European Journal of Preventive Medicine (Volume 10, Issue 4)
DOI	10.11648/j.ejpm.20221004.11
Page(s)	84-87
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Diabetes, Urinary Tract Infection, Escherichia Coli

References

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Umba Nguanga Charlotte, Blaise Makoso Nimi, Gedeon Longo Longo, Benjamin Mbenza Longo. (2022). Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo. European Journal of Preventive Medicine, 10(4), 84-87. https://doi.org/10.11648/j.ejpm.20221004.11

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ACS Style

Umba Nguanga Charlotte; Blaise Makoso Nimi; Gedeon Longo Longo; Benjamin Mbenza Longo. Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo. Eur. J. Prev. Med. 2022, 10(4), 84-87. doi: 10.11648/j.ejpm.20221004.11

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AMA Style

Umba Nguanga Charlotte, Blaise Makoso Nimi, Gedeon Longo Longo, Benjamin Mbenza Longo. Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo. Eur J Prev Med. 2022;10(4):84-87. doi: 10.11648/j.ejpm.20221004.11

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@article{10.11648/j.ejpm.20221004.11,
  author = {Umba Nguanga Charlotte and Blaise Makoso Nimi and Gedeon Longo Longo and Benjamin Mbenza Longo},
  title = {Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo},
  journal = {European Journal of Preventive Medicine},
  volume = {10},
  number = {4},
  pages = {84-87},
  doi = {10.11648/j.ejpm.20221004.11},
  url = {https://doi.org/10.11648/j.ejpm.20221004.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20221004.11},
  abstract = {Introduction: Urinary tract infection (UTI) is common in diabetic patients in general, but more so in patients who are not well balanced. The objective of our study was to identify the germs responsible for urinary tract infection and to study their sensitivity to the antibiotics used. Method: This was a retrospective and descriptive study of 212 diabetic patients followed at the Hospital du Cinquantenaire in Kinshasa from January 2019 to December 2021. The diagnosis of urinary tract infection was retained in the presence of positive bacteriuria, i.e. bacteriuria of the jet medium ≥ 105 cfu/ml in women and ≥ 104 cfu/ml in men or bacteriuria of urine collected in an indwelling catheter ≥ 102 cfu/ml. Results: Of the 800 diabetics received, 320 had performed a UEC and of these 212 were positive. The mean age of the patients included in our work was 43.1 ± 12.7 years with extremes of 18 and 77 years. The female sex was more represented (58.4%), i.e. a sex ratio of 01.3. Escherichia coli were the most frequent germ in 36.3% of cases, followed by Klebsiella pneumoniae in 28.8%. The resistance rate was 40% for ampicillin, 60% for amoxicillin, 80% for oxacillin, 71.8% for ceftriaxone and 12.5% for imipenem. As for quinolones, the resistance rate was 82.6% for norfloxacin and 74.1% for ciprofloxacin. Resistance to gentamicin was 66.7%. Resistance rates for cotrimoxazole were 77.8% and 25.9% for nitrofurantoin. Conclusion: Urinary tract infection is a frequent pathology in diabetics. The most isolated germ is Escherichia coli. The rate of bacterial resistance was very high and varied from one study to another.},
 year = {2022}
}

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TY - JOUR
T1 - Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo
AU - Umba Nguanga Charlotte
AU - Blaise Makoso Nimi
AU - Gedeon Longo Longo
AU - Benjamin Mbenza Longo
Y1 - 2022/08/05
PY - 2022
N1 - https://doi.org/10.11648/j.ejpm.20221004.11
DO - 10.11648/j.ejpm.20221004.11
T2 - European Journal of Preventive Medicine
JF - European Journal of Preventive Medicine
JO - European Journal of Preventive Medicine
SP - 84
EP - 87
PB - Science Publishing Group
SN - 2330-8230
UR - https://doi.org/10.11648/j.ejpm.20221004.11
AB - Introduction: Urinary tract infection (UTI) is common in diabetic patients in general, but more so in patients who are not well balanced. The objective of our study was to identify the germs responsible for urinary tract infection and to study their sensitivity to the antibiotics used. Method: This was a retrospective and descriptive study of 212 diabetic patients followed at the Hospital du Cinquantenaire in Kinshasa from January 2019 to December 2021. The diagnosis of urinary tract infection was retained in the presence of positive bacteriuria, i.e. bacteriuria of the jet medium ≥ 105 cfu/ml in women and ≥ 104 cfu/ml in men or bacteriuria of urine collected in an indwelling catheter ≥ 102 cfu/ml. Results: Of the 800 diabetics received, 320 had performed a UEC and of these 212 were positive. The mean age of the patients included in our work was 43.1 ± 12.7 years with extremes of 18 and 77 years. The female sex was more represented (58.4%), i.e. a sex ratio of 01.3. Escherichia coli were the most frequent germ in 36.3% of cases, followed by Klebsiella pneumoniae in 28.8%. The resistance rate was 40% for ampicillin, 60% for amoxicillin, 80% for oxacillin, 71.8% for ceftriaxone and 12.5% for imipenem. As for quinolones, the resistance rate was 82.6% for norfloxacin and 74.1% for ciprofloxacin. Resistance to gentamicin was 66.7%. Resistance rates for cotrimoxazole were 77.8% and 25.9% for nitrofurantoin. Conclusion: Urinary tract infection is a frequent pathology in diabetics. The most isolated germ is Escherichia coli. The rate of bacterial resistance was very high and varied from one study to another.
VL - 10
IS - 4
ER -

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Author Information

Umba Nguanga Charlotte

Department of Nursing, Higher Institute of Medical Technology of Kinshasa, Kinshasa, Democratic Republic of Congo
Blaise Makoso Nimi

Department of Internal Medicine, University of President Kasa-Vubu, Boma, Democratic Republic of Congo
Gedeon Longo Longo

Department of Internal Medicine, Lomo-University Research, Kinshasa, Democratic Republic of Congo
Benjamin Mbenza Longo

Department of Nursing, Higher Institute of Medical Technology of Tshela, Tshela, Democratic Republic of Congo

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Umba Nguanga Charlotte, Blaise Makoso Nimi, Gedeon Longo Longo, Benjamin Mbenza Longo. (2022). Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo. European Journal of Preventive Medicine, 10(4), 84-87. https://doi.org/10.11648/j.ejpm.20221004.11

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ACS Style

Umba Nguanga Charlotte; Blaise Makoso Nimi; Gedeon Longo Longo; Benjamin Mbenza Longo. Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo. Eur. J. Prev. Med. 2022, 10(4), 84-87. doi: 10.11648/j.ejpm.20221004.11

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AMA Style

Umba Nguanga Charlotte, Blaise Makoso Nimi, Gedeon Longo Longo, Benjamin Mbenza Longo. Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo. Eur J Prev Med. 2022;10(4):84-87. doi: 10.11648/j.ejpm.20221004.11

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@article{10.11648/j.ejpm.20221004.11,
  author = {Umba Nguanga Charlotte and Blaise Makoso Nimi and Gedeon Longo Longo and Benjamin Mbenza Longo},
  title = {Prevalence of Urinary Tract Infections and Antibiogram in Diabetic Patients Followed in the Democratic Republic of the Congo},
  journal = {European Journal of Preventive Medicine},
  volume = {10},
  number = {4},
  pages = {84-87},
  doi = {10.11648/j.ejpm.20221004.11},
  url = {https://doi.org/10.11648/j.ejpm.20221004.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20221004.11},
  abstract = {Introduction: Urinary tract infection (UTI) is common in diabetic patients in general, but more so in patients who are not well balanced. The objective of our study was to identify the germs responsible for urinary tract infection and to study their sensitivity to the antibiotics used. Method: This was a retrospective and descriptive study of 212 diabetic patients followed at the Hospital du Cinquantenaire in Kinshasa from January 2019 to December 2021. The diagnosis of urinary tract infection was retained in the presence of positive bacteriuria, i.e. bacteriuria of the jet medium ≥ 105 cfu/ml in women and ≥ 104 cfu/ml in men or bacteriuria of urine collected in an indwelling catheter ≥ 102 cfu/ml. Results: Of the 800 diabetics received, 320 had performed a UEC and of these 212 were positive. The mean age of the patients included in our work was 43.1 ± 12.7 years with extremes of 18 and 77 years. The female sex was more represented (58.4%), i.e. a sex ratio of 01.3. Escherichia coli were the most frequent germ in 36.3% of cases, followed by Klebsiella pneumoniae in 28.8%. The resistance rate was 40% for ampicillin, 60% for amoxicillin, 80% for oxacillin, 71.8% for ceftriaxone and 12.5% for imipenem. As for quinolones, the resistance rate was 82.6% for norfloxacin and 74.1% for ciprofloxacin. Resistance to gentamicin was 66.7%. Resistance rates for cotrimoxazole were 77.8% and 25.9% for nitrofurantoin. Conclusion: Urinary tract infection is a frequent pathology in diabetics. The most isolated germ is Escherichia coli. The rate of bacterial resistance was very high and varied from one study to another.},
 year = {2022}
}

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