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Aspects of urinary tract infections and antimicrobial resistance in hospitalized urology patients in Asia: 10-Year results of the Global Prevalence Study of Infections in Urology (GPIU)
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 2018-04, Vol.24 (4), p.278-283
2018
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Autor(en) / Beteiligte
Titel
Aspects of urinary tract infections and antimicrobial resistance in hospitalized urology patients in Asia: 10-Year results of the Global Prevalence Study of Infections in Urology (GPIU)
Ist Teil von
  • Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 2018-04, Vol.24 (4), p.278-283
Ort / Verlag
Netherlands: Elsevier Ltd
Erscheinungsjahr
2018
Quelle
MEDLINE
Beschreibungen/Notizen
  • To assess Asian data from Global Prevalence Study on Infections in Urology (GPIU study) which has been performed more than 10 years. Seventeen Asian countries participated in the GPIU study between 2004 and 2013. Data for these countries were collected from the web-based GPIU database. The point prevalence of urinary tract infections (UTI) and antimicrobial susceptibility of representative pathogens were analysed for Asian geographic regions. A total of 6706 patients (5271 male, 1435 female) were assessed during the study period, and 659 patients were diagnosed with a UTI (9.8%). Of these UTI patients, 436 were male and 223 were female. Mean patient age was 54.9 ± 19.3 years. Pyelonephritis and cystitis were the most common clinical diagnoses, representing 30.7% and 29.9% of patients, respectively. Escherichia coli was the most frequently identified uropathogen (38.7%). For the patients with urinary tract infection, cephalosporins were the most frequently used antibiotics (34.4%), followed by fluoroquinolones (24.1%), aminoglycosides (16.8%). Fluoroquinolone resistance was relatively high (ciprofloxacin 54.9%, levofloxacin 39.0%), and cephalosporin resistance 42% (42.5–49.4%). Of the antibiotics evaluated, uropathogens had maintained the highest level of susceptibility to amikacin and imipenem (24.9% and 11.3% resistance rates, respectively). Uropathogens in many Asian countries had high resistance to broad-spectrum antibiotics. Knowledge of regional and local resistance data and prudent use of antibiotics are important for proper management of UTI in Asian countries.
Sprache
Englisch; Norwegisch
Identifikatoren
ISSN: 1341-321X
eISSN: 1437-7780
DOI: 10.1016/j.jiac.2017.11.013
Titel-ID: cdi_cristin_nora_10852_72955
Format
–
Schlagworte
Adult, Aged, Anti-Bacterial Agents - therapeutic use, Antibiotic resistance, Asia, Asia - epidemiology, Cystitis - diagnosis, Cystitis - drug therapy, Cystitis - epidemiology, Cystitis - microbiology, Drug Resistance, Multiple, Bacterial, Escherichia coli - drug effects, Escherichia coli - pathogenicity, Escherichia coli Infections - diagnosis, Escherichia coli Infections - drug therapy, Escherichia coli Infections - epidemiology, Escherichia coli Infections - microbiology, Female, Hospitals - statistics & numerical data, Humans, Male, Middle Aged, Prevalence, Pyelonephritis - diagnosis, Pyelonephritis - drug therapy, Pyelonephritis - epidemiology, Pyelonephritis - microbiology, Surveillance, Urinary tract infections, Urinary Tract Infections - diagnosis, Urinary Tract Infections - drug therapy, Urinary Tract Infections - epidemiology, Urinary Tract Infections - microbiology

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