The clinical course of untreated asymptomatic bacteriuria in diabetic patients--14-year follow-up.

E Semetkowska-Jurkiewicz, S Horoszek-Maziarz, J Galiński, A Manitius, B Krupa-Wojciechowska
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Abstract

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.

未经治疗的糖尿病患者无症状菌尿的临床过程——14年随访。
本研究旨在了解14年来未经治疗的糖尿病患者无症状菌尿的自然病史。对两组糖尿病患者进行检查。第一组患者53例,有明显的细菌尿,无尿路感染的临床症状。第二组为54例无菌尿。所有患者每3-6个月进行一次临床和细菌学检查,持续14年。本研究结果证明,两组(I-6组、II-5组)急性肾盂肾炎的临床症状出现频率相似。未见肾功能恶化。在随访开始和结束时,两组的动脉高血压无显著差异。抗菌药物治疗糖尿病患者无症状菌尿的有效性还没有充分的文献记载。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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