TY - CHAP T1 - Healthcare-associated urinary tract infections in urology T2 - Urogenital Infections and Inflammations AU - Medina-Polo, Jose AU - Naber, Kurt G. AU - Bjerklund Johansen, Truls Erik ED - Naber, Kurt G. AD - Jose Medina-Polo, Hospital Universitario 12 de Octubre, Madrid, Department of Urology, Health Research Institute i+12, Avda Córdoba s/n, 28045, Madrid, Spanien, Phone: 0034 913908000, E-mail: josemedinapolo@movistar.es N2 - The purpose of the present review is to report the incidence and characteristics of healthcare-associated urinary tract infections (HAUTIs) in urology with their microbiological and resistance patterns. Urinary tract infections are the main type of healthcare-associated infection in patients hospitalized in a urology ward. Patients admitted to urology departments report a high prevalence of urinary tract catheterization, up to 75% during the hospitalization period, and up to 20% had a urinary catheter before admission. An endourological surgical procedure is another risk factor for HAUTIs. Other risk factors for HAUTIs are the presence of immunosuppression and previous urinary tract infections. In urological patients, Enterobacterales are the principal causative agent of HAUTIs, and E. coli is the most frequently isolated microorganism. However, there is also a high rate of microorganisms other than E. coli such as Klebsiella spp. and Enterococcus spp. Non-E. coli microorganisms show a higher prevalence in immunosuppressed patients and those with urinary catheters before admission. High resistance patterns are reported in patients with HAUTIs, and ESBL-producing bacteria are frequently described. Moreover, the isolation of multidrug-resistant microorganisms is more common in immunosuppressed patients, those with previous urinary tract infections, and urinary catheters into the upper urinary tract. Treatment must be tailored according to patient characteristics and patient profiles, bearing in mind the ORENUC classification for risk factors (no risk factors (O), recurrent urinary tract infections risk factors (R), extraurogenital risk factors (E), nephropathic disease (N), urological risk factors (U), permanent urinary catheter and non-resolvable urological risk factors (C)). PY - 2021 DA - 2021/08/30 DO - 10.5680/lhuii000066 LA - en L1 - https://books.publisso.de/de/system/getFile/734 UR - https://dx.doi.org/10.5680/lhuii000066 L2 - https://dx.doi.org/10.5680/lhuii000066 KW - antibiotic resistance KW - healthcare-associated urinary tract infection (HAUTI) KW - multidrug-resistance organism (MDRO) KW - urinary catheter KW - urology department PB - German Medical Science GMS Publishing House CY - Berlin ER -