Evidence map›Paper›PMID 33902477›Full record

ArticleBMC infectious diseases2021

Asymptomatic urinary tract infections and associated risk factors in Pakistani Muslim type 2 diabetic patients.

Azizul Hasan Aamir, Umar Yousuf Raja, Ali Asghar, Saeed Ahmed Mahar, Tahir Ghaffar, Ibrar Ahmed, Faisal Masood Qureshi, Jamal Zafar, Mohammad Imtiaz Hasan, Amna Riaz and 5 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 12 institutions in 1 country.

Azizul Hasan AamirKhyber Girls Medical College, Hayatabad Medical complex, Peshawar, Pakistan. drahaamir@gmail.com.
Umar Yousuf RajaShifa International Hospital, Islamabad, Pakistan.
Ali AsgharFatimiyah Hospital, Karachi, Pakistan.
Saeed Ahmed MaharNational Institute of Cardiovascular Diseases, Karachi, Pakistan.
Tahir GhaffarKhyber Girls Medical College, Hayatabad Medical complex, Peshawar, Pakistan.
Ibrar AhmedLady Reading Hospital, Peshawar, Pakistan.
Faisal Masood QureshiAl-Khaliq Hospital, Multan, Pakistan.
Jamal ZafarHanif Medical Center, Rawalpinidi, Pakistan.
Mohammad Imtiaz HasanDiabetes Institute of Pakistan, Lahore, Pakistan.
Amna RiazJinnah Hospital, Lahore, Pakistan.
Syed Abbas RazaNational Defence Center, Lahore, Pakistan.
Irshad Ahmed KhosaBalochistan Medical Center, Quetta, Pakistan.
Jahanzeb KhanDow University of Health Sciences, Karachi, Pakistan.
Mahwish RazaShaheed Zulfikar Ali Bhutto Institute of Science and Technology, Karachi, Pakistan.
Jaffer Bin BaqarUniversity of Karachi, Karachi, Pakistan.
Hayatabad Medical Complex · PKDow University of Health Sciences · PKHoly Family Hospital · PKJinnah Postgraduate Medical Center · PKLady Reading Hospital · PKNational Defence University · PKNational Institute of Cardiovascular Diseases · PKRawalpindi Medical University · PKShaheed Zulfiqar Ali Bhutto Institute of Science and Technology · PKShifa International Hospital · PKUniversity of Balochistan · PKUniversity of Karachi · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the leading long-term complications of type 2 diabetes mellitus (T2DM) includes renal dysfunction and urinary tract infections (UTI) which are considered to be prevalent in uncontrolled diabetes. Moreover, physiological factors like age, gender, duration of diabetes, other diabetic complications like neuropathy, autonomic neuropathy and glycosuria are also considered as predisposing factors for increased prevalence of UTI in diabetes which can be symptomatic or asymptomatic.

methodsThis was a cross-sectional, multi-centre study including diabetic patients from 12 clinical sites spread across major cities of Pakistan. The inclusion criteria were adult Pakistani population of age between 18 to 75 years both genders and suffering from T2DM irrespective of duration. A detailed clinical history of the past 3 months was recorded and, biochemical investigations of blood samples were conducted. Urine culture analysis performed identified the type of pathogen present and was done only for asymptomatic patients.

resultsA total of 745 type 2 diabetic patients were initially screened, out of 545 patients considered for final analysis 501 (91.92%) were negative and the rest 44 (8.08%) had positive urine culture. Female gender had a significantly higher proportion of positive urine culture (77.27%, p-value< 0.001). Body mass index and mean age had insignificant distribution among the two groups of positive and negative urine culture, with age 40-59 years having higher proportion (70.45%) in the positive group. Escherichia coli was detected in most of the positive samples (52.3%). All bacterial samples were found resistant to Ciprofloxacin.

conclusionDiabetic Pakistani muslim female patients are identified to be at high risk of suffering from asymptomatic UTI and age more than 40 years is an important risk factor. Escherichia coli was the most common causative organism among people living in this geographical area.

Indexed as

IslamAdolescentAdultAgedAge FactorsAsymptomatic InfectionsCross-Sectional StudiesDiabetes Mellitus, Type 2Escherichia coliEscherichia coli InfectionsFemaleHumansMaleMiddle AgedPakistanPrevalenceAsymptomaticPakistani Muslim populationType II diabetes mellitusUrinary tract infections

Identifiers

PMID33902477
PMCPMC8077900
OpenAlexW3128460451

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.