Evaluating UTI Outcomes in at Risk Populations
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Pathnostics
- 入组人数
- 7,921
- 试验地点
- 1
- 主要终点
- UTI-related ED visit and/or hospitalization within 30 days of index visit
研究概览
简要总结
This is a multicenter, observational comparative cohort, study to evaluate the UTI related adverse event rates between Guidance® UTI clinical pathway versus the current traditional clinical pathways for urine testing.
详细描述
Clinical sites will be identified by an internal database, prepared by the sponsor, based on previous experience with the sites. Study allocation will based on their current usage of Guidance® UTI and the reporting pathway (described above) will be implemented. Those who currently routinely use Guidance® UTI testing procedures will be over sampled 2:1 over those who do not routinely use Guidance® UTI. Larger clinical care systems with multiple care sites may have locations allocated to different cohort. The basis for cohort allocation will be based on the availability and willingness of providers in these markets to implement infrastructure for collecting and reporting of Guidance® UTI clinical pathway. The comparative cluster cohort will be selected from select geographies within the U.S. based on size of general population served matching to those enrolled in the Guidance® UTI clinical pathway.
The method of patient care and management (e.g., test ordering and antimicrobial initiation) is at the discretion of the treating physicians. Specimens collected for suspected UTI may be sent to Pathnostics for standard bacterial identification and sensitivities. Guidance® UTI can only be performed at Pathnostics, whereas urine cultures may be performed at any lab. Trained and experienced clinical lab scientists at Pathnostics are always available to assist the ordering provider with results interpretation or any other questions on the report they may have.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —(Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
UTI-related ED visit and/or hospitalization within 30 days of index visit
时间窗: within 30 days of index visit
UTI-related ED visit and/or hospitalization within 30 days of index visit
Recurrent UTI (rUTI) - The proportion of subjects reporting recurrence of symptomatic UTI and receive antimicrobial treatment (re-prescription) within 30 days.
时间窗: within 30 days of index visit
Recurrent UTI (rUTI) - The proportion of subjects reporting recurrence of symptomatic UTI and receive antimicrobial treatment (re-prescription) within 30 days.
Composite of adverse events associated with index UTI event
时间窗: within 30 days of index visit
Composite of adverse events associated with index UTI event Allergic reactions to antibiotic therapy Progression to pyelonephritis Nausea/vomiting, headache, skin rash, anaphylaxis/hypersensitivity reaction yeast infection (Vaginitis/vulvovaginal candidiasis) Progression to acute renal failure Tendinopathy (including tendon rupture) C. difficile infection Sepsis
次要结局
- UTI-related ED visit and/or hospitalization within 1 year of index visit(within 1 year of index visit)
- Rate of empirical antibiotic starts for UTI indication(within 1 year of index visit)
- Rate of antimicrobial changes for UTI indication(within 1 year of index visit)
- Recurrent UTI within 1 year of index visit suspected UTI as measured by total antibiotics prescribed.(within 1 year of index visit)
