ASSOCIATION OF GLYCEMIC STATUS WITH URINALYSIS FINDINGS AMONG ADULTS PRESENTING WITH SUSPECTED URINARY TRACT INFECTION AT PRIMARY HEALTH CENTRES: A CROSS-SECTIONAL STUDY
DOI:
https://doi.org/10.4238/wp6jxx33Keywords:
Glycemic status; Diabetes mellitus; Urinalysis; Urinary tract infection; Urine culture; Primary health careAbstract
Dysglycemia may alter host susceptibility to urinary infection, while the diagnostic performance of urinalysis varies across clinical populations. This manuscript describes the pattern of glycemic-group labels, urine-culture results, and selected urinalysis findings in a supplied summary of 100 records reportedly involving adults with suspected urinary tract infection. The summary recorded 52 culture-positive results (52.0%). Culture positivity ranged from 43.2% in the no-known diabetes/below-threshold group to 62.5% in the diabetes-range screen-positive group, which contained only eight records. In the comparison based on previously diagnosed diabetes, culture positivity was 56.7% among records with known diabetes and 50.0% among records without known diabetes (crude odds ratio 1.31, 95% CI 0.55-3.09; p=0.541). Pyuria of at least 10 white blood cells per high-power field was recorded in 53.0% of records, leukocyte esterase was non-negative in 64.0%, nitrite was positive in 37.0%, and urine glucose was trace or higher in 21.0%.
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