Management of Urinary Tract Infections in Primary Care Facilities.
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Purpose
The Emergency Ward Center in Oslo has the last two years used a questionnaire to identify patients who qualify for treatment of acute cystitis by the use of a delegation form.
The aim of the study is to evaluate this practice, the primary objective being to evaluate if in a selected patient group the treatment outcome after identifying patients with probable acute cystitis by delegation form will be as good or better than the treatment received after a regular doctor's consultation.
The planned study will also investigate which symptoms, signs and laboratory findings that coincide with significant bacteruria.
The reference standard will be a microbiological culture of every patients urine.
| Condition | Intervention | Phase |
|---|---|---|
|
Urinary Tract Infection |
Other: Delegation form |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Use of Standardized Delegation Form in Diagnosing and Treating Acute Cystitis in Primary Care Facilities. |
- Number of patients who are clinically and bacteriologically free of symptoms of urinary tract infection. [ Time Frame: 6 days after start of treatment. ] [ Designated as safety issue: Yes ]The antibiotic treatment given will be of three days length.
- Number of patients who are clinically and symptomatologically free of symptoms. [ Time Frame: 10 days after start of treatment ] [ Designated as safety issue: Yes ]The antibiotic treatment will be of three days length
| Enrollment: | 443 |
| Study Start Date: | August 2010 |
| Study Completion Date: | December 2011 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Delegation form |
Other: Delegation form
The study aims to compare the use of a delegation form to identify patient's who qualify for antibiotic treatment for suspected acute cystitis with a regular doctor's consultation. The key outcomes are lack of bacteruria and symptoms of UTI at followup times.
|
| Active Comparator: Regular doctor's consultation |
Other: Delegation form
The study aims to compare the use of a delegation form to identify patient's who qualify for antibiotic treatment for suspected acute cystitis with a regular doctor's consultation. The key outcomes are lack of bacteruria and symptoms of UTI at followup times.
|
Eligibility| Ages Eligible for Study: | 16 Years to 55 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Females 16-55 years
- Dysuria
- Increased frequency of urination
Exclusion Criteria:
- Pregnant
- Breastfeeding child < 1 month of age
- Diabetes
- Kidney disease
- Fever
- Poor general condition
- Backpain
- Abdominal pain
- Increased amount of vaginal secretions
- Vaginal itching or pain
- Urinary tract infection in the last four weeks
- Use of urinary catheter in the last four weeks
- Symptoms lasting more than seven days
- Ongoing antibiotic treatment
- Allergy to penicillin
- Use of the medicine Probecid
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Marianne Bollestad, Md, University of Oslo |
| ClinicalTrials.gov Identifier: | NCT01132131 History of Changes |
| Other Study ID Numbers: | 2010/486 |
| Study First Received: | May 20, 2010 |
| Last Updated: | February 1, 2012 |
| Health Authority: | Norway:National Committee for Medical and Health Research Ethics |
Keywords provided by University of Oslo:
|
Urinary tract infection Cystitis Bacteruria |
Additional relevant MeSH terms:
|
Urinary Tract Infections Infection Urologic Diseases |
ClinicalTrials.gov processed this record on May 23, 2013