Annals of International Medical and Dental Research
E-ISSN: 2395-2822 | P-ISSN: 2395-2814
Vol-8, Issue-2 | March-April 2022
DOI: 10.53339/aimdr.2022.8.2.2
Page no- 05-10 | Section- Research Article (Biochemistry)
5
Copyright: ©The author(s), published in Annals of International Medical and Dental Research, Vol-8, Issue-2. This is an open access article under
the Attribution-Non Commercial 2.0 Generic (CC BY-NC 2.0) license. (https://creativecommons.org/licenses/by-nc/2.0/)
Evaluation of Microalbuminuria in Patients with Urinary Tract Infection
Mohid Raza
1
, Maninder Kaur
2
, Harjinder Singh
3
, Ravinder Khaira
4
*
1
Junior Resident, Department of
Biochemistry, Government Medical
College & Rajindra Hospital Patiala,
Punjab, India.
Email: mohid1985khan@gmail.com
Orcid ID: 0000-0001-8963-4381
2
Professor, Department of Biochemistry,
Government Medical College & Rajindra
Hospital Patiala, Punjab, India.
Email: mkaur68@yahoo.com
Orcid ID: 0000-0002-8709-7575
3
Professor, Department of Urology,
Government Medical College & Rajindra
Hospital Patiala, Punjab, India.
Email: dr.hsingh.uro@gmail.com
Orcid ID: 0000-0002-2745-4008
4
Associate Professor, Department of
Community Medicine, Government
Medical College & Rajindra Hospital
Patiala, Punjab, India.
Email: axelkhaira31@gmail.com
Orcid ID: 0000-0001-7982-8895
*Corresponding author
Received: 22 October 2021
Revised: 03 December 2021
Accepted: 17 December 2021
Published: 18 February 2022
Keywords:- Urinary tract infection, Albumin creatinine ratio, Microalbuminuria.
INTRODUCTION
Urinary tract infection (UTI) refers to the
presence of microbial pathogens within the
urinary tract. Diagnosis of urinary tract
infection requires the presence of pus cells in the
urine. Urinary tract infection is defined as the
presence of 105 colony forming units (cfu)/mL
in urine. Infection is uncomplicated when there
is no underlying anatomical or functional
abnormality. The underlying bacteriology of
urinary tract infection mainly comprises of
gram negative pathogens, most common of
which is Escherichia coli. The pathogenic
spectrum is more diverse and resilient in people
with underlying systemic or local renal
pathology indicating complicated infection. It is
reported that UTI is affecting both genders but
Abstract
Background: Urinary tract infection is a collective term for infections that
involve any part of the urinary tract. It is one of the most common infections
in local primary care. There are wide range of factors identified that can
increase susceptibility to UTI, like sexual intercourse, congenital abnormalities,
urinary obstruction, prior history of UTI, diabetes, urogenital surgery,
estrogen deficiency. Diabetes mellitus has been a significant risk factor for
complicated UTI. Presence of microalbumin in urine in patients of urinary tract
infection may be a predictor of intrinsic renal pathology and its presence is a
predictor of ongoing progressive damage to kidneys. Microalbuminuria is also
associated with cardiovascular events and diabetic nephropathy. Early
diagnosis of microalbuminuria will decrease the incidence of end stage renal
disease and cardiovascular events. The present study was thus conducted to
evaluate prevalence of microalbuminuria in patients diagnosed with urinary
tract infections. Material & Methods: The present hospital based case control
study was conducted on 60 patients visiting the outpatient clinic (OPD) of
Department of Urology, Government Medical College and Rajindra Hospital,
Patiala and diagnosed with UTI and the control group consisted of 20 age and
gender matched individuals. Estimation of urine microalbumin was done by
Enyme linked immunoassay(ELISA) kit method in Department of
Biochemistry, GMC Patiala. Results: Out of 60 cases of UTI included in the
present study, prevalence of microalbuminuria was observed in 43.3% among
cases of UTI . A total of 85% of the cases with positive urine culture had
microalbuminuria (p<0.01). Conclusions: Microalbuminuria and ACR can be
recommended for predicting ESRD at an early stage of kidney disease.