title: The Global Prevalence of Infections in Urology Study: A Long-Term, Worldwide Surveillance Study on Urological Infections.
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.
authors.affiliation: Department of Urology, Paediatric Urology and Andrology, Justus-Liebig-University, D-35392 Giessen, Germany. wagenlehner@aol.com.
authors.forename: Florian
authors.initials: F
authors.lastname: Wagenlehner
authors.affiliation: Northern Institute for Cancer Research, Newcastle University, Newcastle Upon Tyne NE2 4HH, UK. drzafer@gmail.com.
authors.forename: Zafer
authors.initials: Z
authors.lastname: Tandogdu
authors.affiliation: Department of Experimental and Clinical medicine, University of Florence, 4-50121 Florence, Italy. riccardo.bartoletti@unifi.it.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Bartoletti
authors.affiliation: Department of Urology, Santa Chiara Regional Hospital, 38122 Trento, Italy. ktommy@libero.it.
authors.forename: Tommaso
authors.initials: T
authors.lastname: Cai
authors.affiliation: Department of Urology, Trakya Medical School, Edirne 22100, Turkey. cekmd@doruk.net.tr.
authors.forename: Mete
authors.initials: M
authors.lastname: Cek
authors.affiliation: TB Research Institute, Novosibirsk 630040, Russia. ku_ekaterina@mail.ru.
authors.forename: Ekaterina
authors.initials: E
authors.lastname: Kulchavenya
authors.affiliation: Jahn Ferenc South Pest Teaching Hospital, 1204 Budapest, Hungary. urologia@jahndelpest.hu.
authors.forename: Béla
authors.initials: B
authors.lastname: Köves
authors.affiliation: Department of Urology, Technical University of Munich, 80333 Munich, Germany. kurt.naber@nabers.de.
authors.forename: Kurt
authors.initials: K
authors.lastname: Naber
authors.affiliation: S.R. Urology Institute, Moscow 105425, Russia. perepanova2003@mail.ru.
authors.forename: Tamara
authors.initials: T
authors.lastname: Perepanova
authors.affiliation: Jahn Ferenc South Pest Teaching Hospital, 1204 Budapest, Hungary. tenke.peter@jahndelpest.hu.
authors.forename: Peter
authors.initials: P
authors.lastname: Tenke
authors.affiliation: Department of Microbiology, Immunology and Glycobiology, Lund University, 22100 Lund, Sweden. bjorn.wullt@med.lu.se.
authors.forename: Björn
authors.initials: B
authors.lastname: Wullt
authors.affiliation: Department of Bioinformatics, Technische Hochschule Mittelhessen, 35390 Giessen, Germany. florian.bogenhard@mni.thm.de.
authors.forename: Florian
authors.initials: F
authors.lastname: Bogenhard
authors.affiliation: Department of Urology, Oslo University, 0586 Oslo, Norway. t.e.b.johansen@medisin.uio.no.
authors.forename: Truls Erik Bjerklund
authors.initials: TE
authors.lastname: Johansen
keywords: antibiotic administration; antibiotic resistance; healthcare-associated urinary tract infections; prostate biopsy; surveillance study; transurethral resection; urosepsis