Treatment
Guidelines recommend not to treat ASB in diabetic
patients [13]. Despite the fact that UTI in patients
with diabetes mellitus is associated with more, severe
and uncommon complications, trials addressing the
optimal treatment of UTI are missing. Some studies
report on difference in recurrence rates after treatment
with different antibiotics, which may provide
some guidance when treating UTI in patients with
diabetes mellitus. Wang et al. [12&] reported similar
antimicrobial resistance patterns of E. coli isolates
between patients with and without diabetes. Only
resistance for second and third-generation cephalosporins
was higher in patients with diabetes mellitus
(24–25% vs. 12–14%).