Evidence map›Paper›PMID 24452449›Full record

ArticleWorld journal of urology2014

Healthcare-associated urinary tract infections in hospitalized urological patients--a global perspective: results from the GPIU studies 2003-2010.

Mete Cek, Zafer Tandoğdu, Florian Wagenlehner, Peter Tenke, Kurt Naber, Truls Erik Bjerklund-Johansen

Registry-linked trialAbstract read
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In one paragraph

Article in World journal of urology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03665467 (The Global Prevalence of Infections in Urology Study), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03665467 unknown statusnot on this map

The Global Prevalence of Infections in Urology Study

TypeobservationalSponsorEuropean Association of Urology Research FoundationRan2003 to 2021Enrolled2,000ConditionsHospital Infection, Urinary Tract Infections
3 · Its place in the literature

Who cites it

45 citing papers in PubMed.

  1. Trial
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  10. Antimicrobial Resistance ofAntibiotics (Basel, Switzerland) · 2024
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  11. Review
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  15. Article
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  18. Chicken IgY reduces the risk ofFrontiers in microbiology · 2022
    Article
  19. Article
  20. Association between radical cystectomy prophylactic antimicrobial regimen and postoperative infection.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mete CekDepartment of Urology, Trakya Medical School, Edirne, Turkey, cekmd@doruk.net.tr.
Zafer Tandoğdu
Florian Wagenlehner
Peter Tenke
Kurt Naber
Truls Erik Bjerklund-Johansen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEuropean Section for Infections in Urology has been conducting an annual prevalence survey investigating various aspects of healthcare-associated urinary tract infections (HAUTI) since 2003. MATERIAL AND

methodsThe data on various clinical categories of HAUTI, the contamination status of HAUTI patients who underwent any urological intervention with regard to microorganisms isolated, resistance status and antibiotics used to treat HAUTI will be presented.

resultsOf a total of 19,756 patients screened, 1,866 patients had HAUTI (9.4 %); 1,313 males (70.4 %) and 553 (29.6 %) females. Mean age was 59.9 ± 18.2. Asymptomatic bacteriuria (ASB) and cystitis were the most frequent clinical diagnoses representing 27.0 and 26 % of all HAUTI, respectively. Echerichia coli was found to be the most frequent uropathogen (544 of 1,371 isolates) (39.7 %). Fluoroquinolones were preferred in 26.6 % of cases followed by cephalosporins (23.3 %), aminoglycosides (14.1 %) and penicillins (13.8 %). High global resistance rates to ciprofloxacin (>50 %), cephalosporins (35-50 %) and penicillins (50 %) were found in the GPIU studies 2003-2010. DISCUSSION: We showed that around 10 % of hospitalized urological patients are at risk to develop HAUTI often caused by multiresistant uropathogens. Increased antibiotic use often with broad-spectrum antimicrobials will inevitably be followed by increasing bacterial resistance. To interrupt such a vicious cycle, our results suggest (1) there is still room for improvement in surgical prophylaxis in terms of limiting exposure to antibiotics and (2) far too many patients with ASB are being treated which shows that the new proposal of classification should be adopted where ABS is regarded as colonization and not as an infection to be treated.

Indexed as

AdultAgedAnti-Bacterial AgentsCross InfectionFemaleHospitalizationHumansMaleMiddle AgedPrevalenceUrinary Tract InfectionsUrologic Surgical ProceduresAnti-Bacterial Agents

Identifiers

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.