Correlation between children with type-1 DM and occurrence of UTI

Document Type : Case Series

Authors

1 Department of Pediatrics, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.

2 Department of Clinical Pathology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.

10.21608/aimj.2025.448341

Abstract

Abstract
Background: Urinary tract infection (UTI) is a prevalent bacterial infection that frequently occurs in childhood.
Aim: To evaluate the correlation between the occurrence of UTI in kids with uncontrolled and controlled type-1 diabetes mellitus.
Patients and methods: This prospective research was conducted on a hundred kids with diabetes mellitus type-1 to detect UTIs. Patients were taken from the outpatient clinic of Al-Azhar University Hospitals and the National Institute of Diabetes in Cairo.
Results: According to urine culture, ten percent were positive, E. coli was the commonest cause of UTI (70.0%). A statistically significant relation was observed between UTI and non-UTI children according to fasting blood glucose and two-hour postprandial glucose.  No statistically significant positive association was observed between CRP and glucose. According to type and symptoms of UTI,  five percent of cases had ASB,  one percent of cases had uro-sepsis,  three percent of cases had Cystitis and one percent of cases had Pyelonephritis and according to symptoms, ten percent of cases had burning micturition, nine percent of cases had frequent micturition, seven percent of cases had abdominal pain, five percent of cases had loin pain, six percent of cases had Fever and eight of cases had nausea and vomiting.
Conclusion: The prevalence of UTI was elevated among kids aged four to twelve years with T1DM, and those with unregulated glucose levels in their T1DM were more susceptible to developing UTIs, as a higher percentage of UTI was found in diabetic children with uncontrolled Diabetes (70%).

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