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Pathogens 2016, 5(1), 10; doi:10.3390/pathogens5010010

The Global Prevalence of Infections in Urology Study: A Long-Term, Worldwide Surveillance Study on Urological Infections

1
Department of Urology, Paediatric Urology and Andrology, Justus-Liebig-University, D-35392 Giessen, Germany
2
Northern Institute for Cancer Research, Newcastle University, Newcastle Upon Tyne NE2 4HH, UK
3
Department of Experimental and Clinical medicine, University of Florence, 4-50121 Florence, Italy
4
Department of Urology, Santa Chiara Regional Hospital, 38122 Trento, Italy
5
Department of Urology, Trakya Medical School, Edirne 22100, Turkey
6
TB Research Institute, Novosibirsk 630040, Russia
7
Jahn Ferenc South Pest Teaching Hospital, 1204 Budapest, Hungary
8
Department of Urology, Technical University of Munich, 80333 Munich, Germany
9
S.R. Urology Institute, Moscow 105425, Russia
10
Department of Microbiology, Immunology and Glycobiology, Lund University, 22100 Lund, Sweden
11
Department of Bioinformatics, Technische Hochschule Mittelhessen, 35390 Giessen, Germany
12
Department of Urology, Oslo University, 0586 Oslo, Norway
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editor: Lawrence S. Young
Received: 22 October 2015 / Revised: 4 December 2015 / Accepted: 13 January 2016 / Published: 19 January 2016
(This article belongs to the Special Issue Molecular Aspects of Urinary Tract Infection)
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Abstract

The Global Prevalence of Infections in Urology (GPIU) study is a worldwide-performed point prevalence study intended to create surveillance data on antibiotic resistance, type of urogenital infections, risk factors and data on antibiotic consumption, specifically in patients at urological departments with healthcare-associated urogenital infections (HAUTI). Investigators registered data through a web-based application (http://gpiu.esiu.org/). Data collection includes the practice and characteristics of the hospital and urology ward. On a certain day in November, each year, all urological patients present in the urological department at 8:00 a.m. are screened for HAUTI encompassing their full hospital course from admission to discharge. Apart from the GPIU main study, several side studies are taking place, dealing with transurethral resection of the prostate, prostate biopsy, as well as urosepsis. The GPIU study has been annually performed since 2003. Eight-hundred fifty-six urology units from 70 countries have participated so far, including 27,542 patients. A proxy for antibiotic consumption is reflected by the application rates used for antibiotic prophylaxis for urological interventions. Resistance rates of most uropathogens against antibiotics were high, especially with a note of multidrug resistance. The severity of HAUTI is also increasing, 25% being urosepsis in recent years. View Full-Text
Keywords: healthcare-associated urinary tract infections; surveillance study; antibiotic resistance; antibiotic administration; urosepsis; prostate biopsy; transurethral resection healthcare-associated urinary tract infections; surveillance study; antibiotic resistance; antibiotic administration; urosepsis; prostate biopsy; transurethral resection
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Wagenlehner, F.; Tandogdu, Z.; Bartoletti, R.; Cai, T.; Cek, M.; Kulchavenya, E.; Köves, B.; Naber, K.; Perepanova, T.; Tenke, P.; Wullt, B.; Bogenhard, F.; Johansen, T.E.B. The Global Prevalence of Infections in Urology Study: A Long-Term, Worldwide Surveillance Study on Urological Infections. Pathogens 2016, 5, 10.

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