FREQUENCY OF URINARY TRACT INFECTIONS IN TYPE 2 DIABETES MELLITUS PATIENTS, USING SGLT-2 INHIBITORS

Abstract

Background: Diabetes is one of the world's biggest health issues. Around 90-95% of diabetics have type 2 diabetes 1.Obesity, genetics, and environment all contribute to type 2DM' lower insulin sensitivity. Pakistan has 16.98% diabetes.3 Multiple trials have shown no differences between gliflozins and their dosages for urinary tract infections. They found that type 2 diabetics on sglt-2 inhibitors had higher urinary tract infections. So further study was required to determine the prevalence of urinary tract infections in sglt-2 inhibitor users. I will conduct this research to assess the frequency of such patients and enhance their care.

Objective: The Purpose Of This Research Is To Determine The Frequency Of Urinary Tract Infections In Patients With Type 2 Diabetes Who Attend The Kth Medical Department In Peshawar And Use Sglt-2 Inhibitors.

Study Setting: Department of Medicine, Khyber Teaching Hospital Peshawar.

 Duration: 6 months from 30/4/2021 to 30/10/2021 

 Study design: Descriptive (observational cross-sectional study).

 Methods: A total of 121 patients were observed in the present investigation. Through the OPD and medical department of Khyber Teaching Hospital Peshawar, all patients who met the inclusion criteria—that is, all (patients with t2d) (controlled and controlled) with a duration of diabetes of more than two years, who are currently using SGLT-2 inhibitors for more than one month, who are between the ages of thirty and sixty-five, and who are of either gender—were included in the study. Each patient provided written informed permission after being told of the study's goals and advantages.  The hospital laboratory received a complete history, a clinical examination, and regular baseline tests. The patients who were enrolled had a urine sample obtained, which was then forwarded to the hospital laboratory for a UTI diagnosis.  At least five years of experience as specialist pathologists completed all of the laboratory investigations. According to the operational definition's criteria, UTI was deemed positive.

Results: According to our analysis, the mean age of the 121 patients was 53 years ± 8.761. 50 patients (41%) were female and 71 patients (59%) were male. 114 patients (94%) did not have a UTI, compared to over 7 individuals (6%), who did.
Conclusion: According to the findings of our research, the incidence of urinary tract infections among type 2 diabetes patients taking SGLT-2 inhibitors who consulted the KTH medical department in Peshawar was 6%.