Urinary Tract Infections More Common in Diabetics

CHICAGO—New data demonstrate that patients with type 2 diabetes are more likely to experience aurinary tract infection (UTI) and repeat UTI than patients without the disease, according to a report at the 73rd Scientific Sessions of the American Diabetes Association.

Kristy Iglay, MPH, Global Health Outcomes Research Fellow at Merck & Company in Whitehouse Station, N.J., and colleagues examined the association between type 2 diabetes and UTI using information drawn from a large healthcare claims database. The database is representative of the national commercially insured population and those who have both Medicare coverage and supplemental employer-sponsored coverage and captures the full continuum of care in multiple settings, including physician office visits, hospital stays, and outpatient pharmacy claims.

The analysis included patients aged 18 years or older with a diagnosis of type 2 diabetes in 2010 who were matched to patients without type 2 diabetes for age at the index date, gender, index date, urban/rural location, and geographic region.

Results for 89,790 matched pairs from the prevalence cohort showed that 7.6% of all patients had been diagnosed with a UTI over a one-year follow-up period. The prevalence of UTI was 9.4% in patients with type 2 diabetes versus 5.7% in those without type 2 diabetes.

Although a UTI was more likely in women than men, the likelihood of a UTI was higher in diabetics than nondiabetics for both sexes. Specifically, 14% of diabetic women had a UTI versus 9.1% of nondiabetic women, and 5% of diabetic men had a UTI versus 2.4% of nondiabetic men.

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