Prevalence, antimicrobial resistance, and risk factors of bacterial urinary tract infections among asymptomatic diabetes mellitus patients in Bahir Dar, Ethiopia
Year: 2026
Type: article
Study design: Observational Study
Abstract: Introduction: Diabetes mellitus associated with urinary tract infections. This study aimed to determine the prevalence of bacterial infection of urinary tract, assess antimicrobial resistance, and associated factors among asymptomatic diabetic patients attending Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, northwestern Ethiopia. Methods: An institution-based cross-sectional study was conducted from January to March 2025 among 248 diabetic patients. Sociodemographic and clinical data were collected using a structured questionnaire. Data were entered into EPI data 3.1 and exported to SPSS v.26. Bivariate and multivariable logistic regression analyses were used to identify factors associated with bacterial infection of urinary tract, with p < 0.05 considered statistically significant. Results: . In multivariable analysis, age 19-60 years (AOR = 3.95; 95% CI: 1.55-10.08), divorced marital status (AOR = 3.05; 95% CI: 1.02-9.09), prior history of UTI (AOR = 2.20; 95% CI: 1.12-4.33), and longer duration of diabetes (6-10 years: AOR = 3.85; >10 years: AOR = 5.50) were significantly associated with bacterial infection of urinary tract. Conclusion: The findings of this study showed bacterial infection of urinary tract is common among asymptomatic diabetic patients, with a high burden of antimicrobial resistance. Antimicrobial stewardship programs, rational antibiotic use guided by culture and sensitivity testing are essential to reduce infection-related morbidity.
Institution: Bahir Dar University
Language: English
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,500
Funder: Bahir Dar University
OpenAlex ID: W7203619341