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. 2016 Jan 19;5(1):10.
doi: 10.3390/pathogens5010010.

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

Florian Wagenlehner  1 , Zafer Tandogdu  2 , Riccardo Bartoletti  3 , Tommaso Cai  4 , Mete Cek  5 , Ekaterina Kulchavenya  6 , Béla Köves  7 , Kurt Naber  8 , Tamara Perepanova  9 , Peter Tenke  10 , Björn Wullt  11 , Florian Bogenhard  12 , Truls Erik Bjerklund Johansen  13
Affiliations

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

Florian Wagenlehner et al. Pathogens. .

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.

Keywords: antibiotic administration; antibiotic resistance; healthcare-associated urinary tract infections; prostate biopsy; surveillance study; transurethral resection; urosepsis.

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Figures

Figure 1
Figure 1
GPIU world map. Participating countries are marked in red.
Figure 2
Figure 2
Structure of the Global Prevalence of Infections in Urology (GPIU) application on the Internet.
Figure 3
Figure 3
Welcome page of the GPIU study.
See this image and copyright information in PMC

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