NL-OMON46655
Completed
Phase 4
Shorter treatment of catheter-related urinary tract infections - SHORTCUT
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- Academisch Medisch Centrum
- Enrollment
- 300
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •At presentation with current episode of catheter related urinary tract infection:
- •1\. Indwelling (transurethral or supra\-pubic) urinary catheter with the intention for long\-term continuous catheterization, at least for the next 28 days
- •2\. Signs/symptoms of a systemic UTI, following the modified Loeb criteria \[23,24]: a. patient feels sick. b. at least one of the following signs: Fever \> 37\.9 ºC; Rigors; New onset delirium; new/worsened costovertebral angle tenderness or other local signs of UTI; In patients with spinal cord injury: increase of spasticity.
- •3\. Positive dipstick leucocyte esterase test, or sediment \> 10 leucocytes/mm3\. If a dipstick or sediment was not performed, a positive urine is needed.
Exclusion Criteria
- •1\. Evidence of acute prostatitis or epididymitis
- •2\. Insufficient understanding of Dutch or English language, or otherwise unable (cognitively impaired or incapacitated) to understand or cooperate in study, or to give informed consent.
- •3\. Patients younger than 18 years of age.
- •4\. Current pregnancy
- •5\. Patients with kidney transplant.
- •6\. Patients with suspected concomitant infection requiring antibiotic treatment
- •7\. Patients with growth of S. aureus or pseudomonas spp in blood culture.
- •8\. Patients that cannot be treated with (combinations of) the following antibiotics: amoxicillin, amoxicillin/clavulanic acid, cefuroxime, cefotaxime, ceftriaxone, ceftazidime, meropenem, gentamicin, tobramycin, ciprofloxacin, cotrimoxazole, vancomycin.
Outcomes
Primary Outcomes
Not specified
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