The clinical course of untreated asymptomatic bacteriuria in diabetic patients--14-year follow-up.
The present study aimed at accessing the natural history of untreated asymptomatic bacteriuria in diabetic patients observed for 14 years. Two groups of diabetic patients were examined. Group I comprised 53 patients with significant bacteriuria, without clinical symptoms of urinary tract infection. Group II consisted of 54 patients with sterile urine. All patients were clinically and bacteriologically examined every 3-6 months for 14 years. The results obtained in this study have proved that clinical symptoms of acute pyelonephritis occur with similar frequency in both groups (group I-6, group II-5 cases). No deterioration of kidney function was found. Arterial hypertension did not differ significantly in both groups at the beginning and end of the follow-up. The usefulness of antibacterial treatment of asymptomatic bacteriuria in diabetic patients is not adequately documented.
Semetkowska-Jurkiewicz
E
E
Department of Hypertension and Diabetology, Medical Academy, Gdańsk, Polan
Horoszek-Maziarz
S
S
Galiński
J
J
Manitius
A
A
Krupa-Wojciechowska
B
B
D000328:Adult; D000368:Aged; D001437:Bacteriuria / Q000150:complications*; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000382:microbiology* / Q000652:urine; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies