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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)

2017; Elsevier BV; Volume: 24; Issue: 4 Linguagem: Inglês

10.1016/j.jiac.2017.11.013

1437-7780

Hyun‐Sop Choe, Seung‐Ju Lee, Yong‐Hyun Cho, Mete Çek, Zafer Tandoğdu, Florian Wagenlehner, Truls E. Bjerklund Johansen, Kurt Naber, Abolghasem Nikfallah, Adham Mohamad Kassem, Ahmed Khalil Aljubory, Ahmed Salman, Ainura Kutmanova, Akylbek Ch Usupbaev, Ala Eddin Daud Natsheh, Alexander Vladimirovich Andreychikov, Alexei Yurievich Plekhanov, Alexey Dmitrievich Vinokurov, A. A. Dolgiy, Ali Taghizadeh Afshari, Ali Naghoni, Amitabh Dash, Andrey Vladimirovych Zaitcev, A. Yu. Tsukanov, A.A. Dashko, Anton I. Maliavin, Ardala Abdolghafouri Ghafouri, Arif Ali, Arthur Grabsky, Aso Omer Rashed, Badrulhisham Bahadzor, Basuki Bambang Purnomo, Begench Gurbangeldiyevich Gadamov, Behrooz Rahnavardi Azari, Bongsuk Shim, Boris Vitalyevitch Berejanski, Brian Penero Blas, Chang Hee Han, Chang-Ho Lee, Chao Xu, Chong Chien Ooi, Chu Leong The, Chul Sung Kim, Chuyển Lê, Daniel Landau, Deepak Babu Rauniyar, Dinyar Khazaeli, Doddy M Soebadi, Dong-Hoon Lim, Edmund Chiong, Egote Kofi Alexander, Ekaterina Kulchavenya, E. Draghijeva, Emad Rashad Mohamed Elsobky, Emad Khalid, Fahimeh Kazemi Rashed, Fiona Mei Wen Wu, Firuz Barakaev, Garnik Shahbazyan, Haitham Saeed Nakad, H R Tajari, Hani R. Dahmash, Hasan S. Pliev, Hassan Mikhael Saloum, Hiromi Kumon, Hiroshi Kiyota, Hiroshi Hayami, Hisato Inatomi, Ho Jong Jeon, Hong Bin Kim, Hyun-Rim Lee, Hyun‐Sop Choe, Ida Soo‐Fan Mah, I. A. Aboyan, InRae Cho, Iouri M. Essilevski, Iradj Khosropanah, И. И. Абдуллин, Ismail M. Hassan, Ivan Palagin, Jacob Kaneti, Jae Young Jeong, Jakhongir F. Alidjanov, Jin-Bong Choi, Jong‐Il Kim, Jose-Vicente Tablante Prodigalidad, Joseph Philipraj Sebastian, Julia Makarycheva, Jun Mo Kim, Kagan Felixovich Oleg, Kang-Jun Cho, Karthi Keyan, Kazushi Tanaka, Kevin Lu, Khac Linh Tran Ngoc, Ki-Ho Kim, Koichi Takahashi, Konstantin Antonovich Dunets, Lan Ru Zhu, Lê Nguyên Vũ, Levon Dm Arustamov, L. A. Sinyakova, Lyidmila Pavlovna Barashova, M Hammad Ather, Yong Ma, Madhav Harihar Waze, Maher Fawzi Zabaneh, Mahmood Reza Baghinia, Manoj Kumar Panigrahi, Maria Fe Tayzon, Maroun Serhal, Mayad Nouma Moktash, Medhat Ahmad Mohammad Elsayed, Mehrdad Tahami, Michael Dan, Michael Yu Leh, Michail Frank, Mihir V. Baxi, М. И. Коган, Ming Kui Wong, Mohamad Habous, Mohamadali Aslmonadi, Mohamed Hani Abdulwahab Helal, Mohammad Salehi, Mohammad Kazem Moslemi, Mohammad Reza Moein, Mohammad Khalil Ibrahim Aldahiri, Msasanobu Tanimura, Mstislav Morozov Valentinovich, Muhammad Rafique, Mumtaz Ahmad, Muppidi Satyavani, Muthu Veeramani Veeramani, Nahed Ahmad Al Tabash, Naimet Kamal Alsaigh, Nayel Abdullah Altarwneh, Neelam Taneja, Nelson A. Cayco, Nguyen Dinh Xuong, Nguyen Phu Viet, Nguyen Van Tran, Nikolay Andreevich Vorobyov, Noor Nabi Junejo, Nourkhoda Sadeghifard, Nurbek Kytaibekovich, Oleg Nickolay Zuban, Paul Anthony Lugue Sunga, Perepanova Sergeevna Tamara, Polvonov Abror Aminovich, Prem R Gyawali, Quang Oanh Dao, Radman Abdullah Mohammed, Rahim Razavi Taghavi, Rajni Kapoor, Ramin Hakimzadeh, Rachhpal S. Singh, Raul Raz, Ravisankar Gopakumarapillai, Renu Bharadwaj, Reza aghelnezhad, Rinat Khammatov, Riyadh Al Salh, Roman Vladislavovich Gamazkov, Rosanna Tubo Santillan, Ryoichi Hamasuna, Saeid Arasteh, Saidamin A. Makhsudov, Sammy KK. Chan, Sang Don Lee, Sanjay Pandey, Satoshi Ishihara, Satoshi Takahashi, С. В. Котов, Seung Hyuk Baik, Seung Chol Park, Seung‐Ju Lee, Seydali Eredjepov, Seyed Habibollah, Shashikant R. Bhange, Shigeru Kosugi, Shin Jae Park, Shing‐Hwa Lu, Siavash Falahatkar, Sobhan Ghafouryan, Starodoubtsevan Nadia Vladimirovna, Stephen Nazareth, Suchart Chaimuangraj, Sudhir Kumar Lokwani, Syed Johar Raza, Tahim Razavi Taghavi, Tahir Uddin Qazi, Takehiko Sho, Т С Перепанова, Tamara Perepanova Sergeeuna, Taskeen Ahmad Khan, Т. Н. Моисеенко, Tawiz Gul, Teng Lung Lin, Teresita Tanaglin Gaviola, Tae Hyong Kim, Thamara M. Wijesuriya, T. M. Ganesan, Tomohiro Ueda, U. Sin Ha, Vafa Abd Allahpour, V E Aboyan, Vladimir Startsev, Waleed Hasan, Walid Falou, Warli Syah Mirsya, Waseem Qasim, Wataru Nakamura, Wei Wang, Won Yeol Cho, Xiaoming Huang, Yanwei Cao, Yasser Farahat, Yong Gil Na, Yong‐Hyun Cho, Yoram I. Siegel, Youssef Moussa, Xiangbo Zhang,

Pediatric Urology and Nephrology Studies

Abstract Objectives To assess Asian data from Global Prevalence Study on Infections in Urology (GPIU study) which has been performed more than 10 years. Methods 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. Results 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). Conclusion 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.