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Should we treat asymptomatic bacteriuria in kidney transplant recipients? A prospective, randomized, multicenter trial.

Conditions
Asymptomatic bacteriuria after renal transplantation.
Therapeutic area: Diseases [C] - Bacterial Infections and Mycoses [C01]
Registration Number
EUCTR2012-003857-26-BE
Lead Sponsor
B ERASME HOSPITA
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
130
Inclusion Criteria

asymptomatic bacteriuria in kidney transplant recipients after first two months post transplantation
asymptomatic bacteriuria is define as isolation of a single bacterial species in a quantitative count>= 100.000 CFU/ml in a single collected urine specimen from a patient without biological or clinical signs or symptoms referable to urinary tract infection.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 130
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range 130

Exclusion Criteria

1. Pregnant women or women who wish to become pregnant during the course of the study
2. Presence of indwelling urinary devices such as urethral catheter, ureteral catheter, nephrostomy and/or suprapubic catheter
3. Combined transplantation (liver-kidney, lung-kidney, heart-kidney)
4. Urinary tract surgery during the last two months
5. Surgical urological procedure planned in the next two weeks
6. Neutropenia (<= 500/mm3)
7. Important intensification of immunosuppression (Solumedrol bolus and/or use of thymoglobulin) or any other treatment of an acute graft rejection in the last two months
8. Use of antibiotics at the time of asymptomatic bacteriuria (except for prevention of pneumocystis jiroveci)
9. End Stage Renal Disease requiring dialysis
10. Non-functionning native bladder (e.g. bladder dysfunction requiring intermittent self-catheterization, orthotopic ileal bladder)
11. Recurrent pyelonephritis (>= 2 episodes in the last year)
12. kidney transplant recipients who could not return for regular follow-up

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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