We sought to investigate whether Escherichia coli bacteriuria is associated with a decline in renal function or with the development of end-stage renal failure after long-term follow-up.Methods
We performed a full cohort analysis for women who participated in 2 population-based studies. The baseline cohort consisted of women who collected morning midstream urine samples that were stored. In the cohort study, the presence of E coli bacteriuria was subsequently determined by real-time polymerase chain reaction. After a mean ± SD follow-up of 11.5 ± 1.7 years, blood samples were drawn from 490 women. In the nested case-control study, cases comprised all women who underwent kidney therapy (hemodialysis or renal transplantation) between participation in the baseline cohort study and a mean ± SD of 13.8 ± 7.4 years later.Results
The mean ± SD age at baseline was 45.0 ± 3.2 years, and 48 women (10%) had E coli bacteriuria. After 11.5 years, the mean ± SD creatinine clearance (Cockroft-Gault formula) was similar between the 2 groups (87 ± 21 mL/min [1.5 ± 0.4 mL/s] and 85 ± 18 mL/min [1.4 ± 0.3 mL/s] for women who had and those who did not have bacteriuria, respectively). In the nested case-control study, the prevalence of E coli bacteriuria was 14% among cases and control subjects. The odds ratio corrected for age for the development of end-stage renal failure in the presence of E coli bacteriuria at baseline was 1.1 (95% confidence interval, 0.4–2.8; P = .86).Conclusion
Escherichia coli bacteriuria is not associated with a decline in renal function or with the development of end-stage renal failure in a population of generally healthy women during 12 to 14 years of follow-up.