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临床试验/ISRCTN18390724
ISRCTN18390724进行中(未招募)4 期

Impact of duration of antibiotic therapy on effectiveness, safety and selection of antibiotic resistance in adult women with urinary tract infections (UTI): a randomised controlled trial.

niversity of Oxford0 个研究点目标入组 2,248 人开始时间: 2023年8月31日最近更新:

试验速览

阶段
4 期
状态
进行中(未招募)
入组人数
2,248

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
Female

入选标准

  • 1. Female, aged 18 years or above
  • 2. Participant is willing and able to give informed consent for participation in the trial.
  • 3. Urine sample for culture has been/can be obtained prior to starting antibiotics
  • 4. For pyelonephritis sub trial (primary and secondary care):
  • 4.1. Presenting with acute pyelonephritis symptoms for which the responsible clinician considers antibiotic treatment is either indicated or for whom an antibiotic has already been started within the previous 48 hours.
  • 4.2. Temperature of >38.0oC measured at presentation AND loin/flank pain or costovertebral angle tenderness AND =1 symptom of acute UTI (frequency, dysuria, urgency, nocturia, change in urine smell or appearance (e.g. cloudy or bloody urine), suprapubic pain).
  • 4.3. If recruited in secondary care, willing to allow their General Practitioner, to be notified of participation in the trial
  • 5. For the cystitis sub trial (primary care only):
  • 5.1. Presenting with acute cystitis symptoms for which the responsible clinician consider antibiotic treatment is indicated
  • 5.2. =two of the following symptoms of acute UTI (frequency, dysuria, urgency, nocturia, change in urine smell or appearance (e.g. cloudy or bloody urine), suprapubic pain).
  • 6. English speaking

排除标准

  • 1. Antibiotics for the prevention or treatment of UTI within the previous month (n.b. Pyelonephritis patients that have started antibiotics within 48 hours are included).
  • 2. Previous participation in the DURATION UTI Trial
  • 3. Indwelling catheter
  • 4. Inclusion in the trial is inappropriate in the judgement of the responsible clinician
  • 5. Known anatomical abnormality of the urinary tract
  • 6. Neurogenic bladder
  • 7. Known pregnancy (pregnancy test not required for participation)
  • 8. Unable to comply with study procedures
  • 9. All antibiotic agents available to the participant in the trial are precluded in the view of the responsible clinician for example by:
  • 9.1. patient factors (such as allergy, degree of renal impairment)
  • 9.2. antibiotic susceptibility results (e.g. known carrier of antibiotic resistant organisms or resistance profile of the current infection if known at randomisation).

研究者

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