[Bacterial flora in infections of the urinary system system in pregnant women with pre-gestational diabetes].
Urinary tract infections are accounted to serious complications, particularly in pregnancy complicated by diabetes. In this paper, cases of pregnancy have been analysed, affected by diabetes of type 1 and type 2, according to status of metabolic control and the type of urinary tract infection. In a group of 217 diabetic pregnant women, the incidence of urinary tract infections was 26.7%, 19.0% of them being recurrent. In the group with bad metabolic control, infections were statistically more frequent (17.4% vs. 37.3%, p = 0.001); bacteriuria without clinical demonstrations 10.4% vs. 19.6% (p > 0.05), pyelonephritis (7.0% vs. 17.7%, p = 0.001). The following types of pathogenic bacteria were found: E. coli--44.4%, Staphylococcous--28.9%, Enterococcocus--18.7%. A high frequency of Gram (+) bacteria was observed. A good metabolic control without chronic diabetic complications correlated with less frequent infections of the urinary tract.
Sobczak
M
M
Kliniki Medycyny Matczyno-Płodowej Instytutu CZMP w Lodzi.
Wilczyński
J
J
Cypryk
K
K
Woch
G
G
D001424:Bacterial Infections / Q000150:complications* / Q000652:urine; D016640:Diabetes, Gestational / Q000150:complications*; D005260:Female; D006801:Humans; D011247:Pregnancy; D012189:Retrospective Studies; D014552:Urinary Tract Infections / Q000150:complications* / Q000382:microbiology* / Q000652:urine