The clinical course of untreated asymptomatic bacteriuria in diabetic patients--14-year follow-up
Semetkowska-Jurkiewicz, E.; Horoszek-Maziarz, S.; Galiński, J.; Manitius, A.; Krupa-Wojciechowska, B.
Materia Medica Polona. Polish Journal of Medicine and Pharmacy 27(3): 91-95
1995
ISSN/ISBN: 0025-5246 PMID: 8935144 Document Number: 440323
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.