Prévalence et facteurs associés à l'infection urinaire chez la femme diabétique au Centre hospitalo-universitaire de Casablanca, Maroc

Urinary tract infections (UTI) are frequent and sometimes severe in women with diabetes. Some risk factors have been suggested. Our objective was to determine the prevalence and factors associated with UTI in diabetic women of age > 15 years, received in our department (CHU Ibn Rochd, Casablanca, Morroco) over a period of 8 months (June 2011-January 2012). This was an observational cross-sectional study; UI being defined by a significant bacteriuria (≥100,000 CFU/ml). Our study included 352 diabetic patients (47.8±15.8 years), 77.8% with type 2 diabetes, with a diabetes' duration of 8.0 ± 7.5 years; 50 (14.2%) patients had a UTI. In univariate analysis, risk factors significantly associated with IU were HbA1c >8% (p=0.01), (p=0.001), an excess of personal hygiene (p=0.03), a decrease in glomerular filtration rate (p=0.007). In multivariate analysis, the UTI predominant risk factor was glycemic control (odds ratio: 2.71). In conclusion: diabetic women who experienced more frequent UTI are those with an unfavorable glycemic control, abundant glycosuria and excessive hygiene. We encourage physician to pay more attention to these patients to prevent these events.