Location:Room 1, Capital suite (level 3)
We have all seen, in the last sixteen years, a dramatic upsurge of UTI caused by E. coli that have not responded to the mainstream drugs in use in our first line of defence. Therefore the primary aims & objectives of this session is to have delegates more aware of findings coming out of a worldwide-performed point prevalence study conducted by the Global Prevalence of Infections in Urology’s (GPIU). We are in reality running out of time and oral antibiotics that can treat such infection, thus it is of upmost importance for urology nurses to be well informed of their salient role in preventing the dissemination of drug-resistant microorganisms.
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 (http://gpiu.esiu.org/).
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, including 27,542 patients. 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.
This presentation will explain the principles of antibiotic resistance and present global resistance data. The concept of collateral damage will be addressed and several key questions will be answered: Why is it so difficult to counteract resistance? Are there really no new antibiotics in the pipelines of the pharmaceutical industry? Is it possible to foresee the appropriateness of empiric antiobiotic treatment? Finally, the lecture will answer if the urological time bomb has exploded or not.
Catheter-Associated Urinary Tract Infections (CAUTI) are the most common nosocomial infections. We used a multi-modal interdisciplinary intervention to reduce CAUTI with three key elements: stringent indications for urinary catheter (UC) insertion, shifting the task to decide on UC removal from physicians to nurses and an automatic electronic alert for catheter removal as key elements.