Prevalence of Bacterial Urinary Tract Infection Among Patients with Type 2 Diabetes Mellitus on Sodium-Glucose Cotransporter-2 Inhibitors A Prospective Real-World Setting Study

Main Article Content

Pankaj Ferwani
https://orcid.org/0000-0003-4230-6043
Aasim Maldar
https://orcid.org/0000-0002-4878-6845
Nishitkumar Shah
https://orcid.org/0000-0003-2483-1629
Phulrenu Chauhan
https://orcid.org/0000-0002-4878-6845
Manoj Chadha

Abstract

Background. Genitourinary tract infections, mycotic as well as bacterial, as defined by clinical symptoms, are one of the common adverse effects associated with the use of sodium-glucose cotransporter-2 inhibitors (SGLT2i) in type 2 diabetes mellitus (T2DM) patients in clinical trials. However, Indian data in terms of the prevalence of culture-proven bacterial type of urinary tract infection (UTI), and the causative organism is limited.


Objective. This study aimed to determine the prevalence and causative agents of bacterial UTI among patients with T2DM on SGLT2i.


Methodology. This was a prospective longitudinal study involving all patients with T2DM who were prescribed with SGLT2i, uncontrolled on other oral anti-diabetic medications, from June 2019 to February 2020. Prevalence of bacterial UTI was evaluated at baseline and 12 weeks after initiation of SGLT2i.


Results. A total of 80 patients were started on SGLT2i. One female patient on canagliflozin had significant asymptomatic bacteriuria and the causative agent was Acinetobacter baumannii. One male patient on dapagliflozin had symptomatic urinary tract infection with negative urine culture study. Four patients developed genital mycotic infection.


Conclusion. In this real-world study, SGLT2i as a class, was well tolerated with favorable safety profile, and risk of developing significant bacteriuria and/or symptomatic UTI was minimal.

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How to Cite
Ferwani, P. ., Maldar, A. ., Shah, N. ., Chauhan, P. ., & Chadha, M. (2022). Prevalence of Bacterial Urinary Tract Infection Among Patients with Type 2 Diabetes Mellitus on Sodium-Glucose Cotransporter-2 Inhibitors: A Prospective Real-World Setting Study. Journal of the ASEAN Federation of Endocrine Societies. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/1305
Section
Original Articles
Author Biographies

Pankaj Ferwani, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra State, India

Clinical Associate, Department of Endocrinology

Aasim Maldar, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra State, India

Junior Consultant, Department of Endocrinology

Nishitkumar Shah, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra State, India

Consultant, Department of Endocrinology

Phulrenu Chauhan, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra State, India

Consultant, Department of Endocrinology

Manoj Chadha, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra State, India

Consultant, Department of Endocrinology

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