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SPRINGStudy of Prevention of Recurrent urinary tract infections by Intravesical iNstilment of Gentamici

Completed
Conditions
recurrent urinary tract infectionsmulti-drug resistant bacteriacystitisprophylaxisrecidiverende urineweginfectiesmulti resistente bacterieen
Registration Number
NL-OMON23211
Lead Sponsor
eiden University Medical Center
Brief Summary

van Nieuwkoop C, den Exter PL, Elzevier HW, den Hartigh J, van Dissel JT. Intravesical gentamicin for recurrent urinary tract infection in patients with intermittent bladder catheterisation. Int J Antimicrob Agents. 2010 Dec;36(6):485-90

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
170
Inclusion Criteria

Competent patient aged 18 or above.

- A history of recurrent cystitis, defined as:

Exclusion Criteria

- Urinary culture in prior 6 months tested positive for high-level gentamicin resistant enterobacteriaceae or enterococci (MIC >128 mg/L).

- Abnormalities of the upper urinary tract, including presence of urinary stones.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The number of UTI per patient after start of intravesical gentamicin or oral antibiotic prophylaxis during 6 months (period of prophylactic treatment) and 12 months (total follow up)
Secondary Outcome Measures
NameTimeMethod
The time to first, second and third symptomatic UTI after start of intravesical gentamicin or oral antibiotic prophylaxis; the proportion of patients with at least 1 UTI during 6 months of prophylactic treatment; the microbiological cure rate in male patients with chronic bacterial prostatitis; the need for oral/iv antibiotic-courses for UTI given in the hospital/daycare during the year of the study; antimicrobial resistance of urethral, perineal and vaginal flora before, during and after treatment; the rate of side effects and adverse events.<br /> Patients’ satisfaction with the treatment will be evaluated after 2, 12 and 24 weeks, and occurrence of urinary symptoms will be assessed every visit.
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