Urological infections significantly impact the wellbeing and quality of life of individuals owing to their widespread occurrence and diverse clinical manifestations. The objective of the guidelines panel was to provide evidence-based guidance on the diagnosis, treatment, and prevention of urinary tract infections (UTIs) and male accessory-gland infections, while addressing crucial public health aspects related to infection control and antimicrobial stewardship.
For the 2024 guidelines on urological infections, new and relevant evidence was identified, collated, and appraised via a structured assessment of the literature. Databases searched included Medline, EMBASE, and the Cochrane Libraries. Recommendations within the guidelines were developed by the panel to prioritise clinically important care decisions. The strength of each recommendation was determined according to a balance between desirable and undesirable consequences of alternative management strategies, the quality of the evidence (including the certainty of estimates), and the nature and variability of patient values and preferences.
Key recommendations emphasise the importance of a thorough medical history and physical examination for patients with urological infections. The guidelines stress the role of antimicrobial stewardship to combat the rising threat of antimicrobial resistance, providing recommendations for antibiotic selection, dosing, and duration on the basis of the latest evidence.
This overview of the 2024 EAU guidelines offers valuable insights into managing urological infections and are designed for effective integration into clinical practice.
The European Association of Urology has issued an updated guideline on urological infections. The guidelines provide recommendations for diagnosis, treatment, and prevention, with a particular focus on minimising antibiotic use because of the increasing global threat of antimicrobial resistance.
European urology. 2024 May 06 [Epub]
Jennifer Kranz, Riccardo Bartoletti, Franck Bruyère, Tommaso Cai, Suzanne Geerlings, Bela Köves, Sören Schubert, Adrian Pilatz, Rajan Veeratterapillay, Florian M E Wagenlehner, Kathrin Bausch, Wout Devlies, József Horváth, Lorenz Leitner, Guglielmo Mantica, Tunde Mezei, Emma J Smith, Gernot Bonkat
Department of Urology and Pediatric Urology, RWTH Aachen University, Aachen, Germany; Department of Urology and Kidney Transplantation, Martin-Luther-University, Halle, Germany. Electronic address: ., Department of Translational Research and New Technologies, University of Pisa, Pisa, Italy., Department of Urology, CHRU Bretonneau, Tours, France; Université Francois Rabelais, PRES Centre Val de Loire, Tours, France., Department of Urology, Santa Chiara, Regional Hospital, Trento, Italy., Department of Internal Medicine, Amsterdam Institute for Infection and Immunity, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands; Amsterdam University Medical Center, Amsterdam, The Netherlands., Department of Urology, University of Szeged, Szeged, Hungary., Max von Pettenkofer Institute, Faculty of Medicine, LMU Munich, Munich, Germany., Department of Urology, Pediatric Urology and Andrology, Justus-Liebig-University Giessen, Giessen, Germany., Freeman Hospital, Newcastle Upon Tyne, UK., Department of Urology, University Hospital Basel, University of Basel, Basel, Switzerland., Department of Urology, UZ Leuven, Leuven, Belgium., BKMK SZTE ÁOK Okt. Kh. Urológiai Osztálya, Kecskemét, Hungary., Department of Neuro-Urology, Balgrist University Hospital, University of Zürich, Zürich, Switzerland., IRCCS Ospedale Policlinico San Martino, Genova, Italy., Department of Urology, Telemark Hospital, Skien, Norway., European Association of Urology Guidelines Office, Arnhem, The Netherlands., alta Uro AG, Merian Iselin Klinik, Center of Biomechanics & Calorimetry, University of Basel, Basel, Switzerland.