Urinary Tract Infection Clinical Trial
— STARRSOfficial title:
Corticosteroids for Children With Febrile Urinary Tract Infections
Verified date | June 2019 |
Source | University of Pittsburgh |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
In this study the investigators will determine whether corticosteroids given at the time of urinary tract infection help prevent permanent damage to the kidneys.
Status | Completed |
Enrollment | 546 |
Est. completion date | March 30, 2018 |
Est. primary completion date | March 30, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 2 Months to 6 Years |
Eligibility |
Inclusion Criteria: - Age: 2 months to 6 years - Pyuria: =10 white blood cells per cubic millimeter (WBC/mm3) in an uncentrifuged specimen or =5 white blood cells per high power field (WBC/hpf) in a centrifuged specimen or =1+ leukocyte esterase (LE) on dipstick - Fever: documented temperature of at least 101 °F or 38.3°C, measured anywhere on the body either at home or at doctor's office within 24 hours of diagnosis Exclusion Criteria: - Other concurrent systemic bacterial infection(s) such as meningitis or pneumonia; - Planned admission to intensive care unit; - Known bacteremia; - Previous protocol defined UTI; - Known major urinary tract anomalies (severe hydronephrosis, ureterocele, urethral valve, solitary or profoundly small kidney, multicystic dysplastic kidney, neurogenic bladder, pelvic or fused kidney); - Congenital/acquired immunodeficiency; - Bag urine collection - Chronic diseases that could potentially interfere with response to therapy, such as chronic gastrointestinal conditions (i.e. malabsorption, inflammatory bowel disease), liver/kidney failure; - Allergy to dexamethasone - Antibiotic use within 7 days of enrollment (except if given in the last 48 hours) - Systemic use of corticosteroids or other immunomodulating agents within 14 days of enrollment - History of Kawasaki disease - Sickle cell disease (not trait) |
Country | Name | City | State |
---|---|---|---|
United States | Nationwide Children's Hospital in Columbus | Columbus | Ohio |
United States | American Family Children's Hospital | Madison | Wisconsin |
United States | Children's Hospital of Pittsburgh | Pittsburgh | Pennsylvania |
United States | Hasbro Children's Hospital | Providence | Rhode Island |
United States | Primary Children's Hospital | Salt Lake City | Utah |
United States | Children's National Medical Center | Washington | District of Columbia |
Lead Sponsor | Collaborator |
---|---|
Nader Shaikh | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The Distribution of Children With Renal Scarring at the Outcome Dimercaptosuccinic Acid (DMSA) Renal Scan | Renal scarring was defined as decreased uptake of tracer with or without loss of contours. Three radiologists independently reviewed for scarring all DMSA scans that were of adequate quality. For a given kidney, the presence or absence of scarring was the diagnosis endorsed by the majority of readers, i.e. 2 of 3. For a given child, if either kidney or both kidneys were diagnosed with scarring by the majority of readers, then the child was determined to have renal scarring. | The outcome DMSA scan was 5-24 months from enrollment. The mean number of months was 6.1. | |
Primary | The Distribution of Children With Severe Renal Scarring at the Outcome Dimercaptosuccinic Acid (DMSA) Renal Scan | Renal scarring was defined as decreased uptake of tracer with or without loss of contours. Scarring was assessed semi-quantitatively by dividing the renal cortex into 12 equal segments. Severe scarring was defined as greater than 4 affected renal segments or global atrophy, i.e. diffuse scarring or shrunken kidney. Three radiologists independently reviewed for scarring all DMSA scans that were of adequate quality. For a given kidney, the presence or absence of severe scarring was the diagnosis endorsed by the majority of readers, i.e. 2 of 3. For a given child, if either kidney or both kidneys were diagnosed with severe scarring by the majority of readers, then the child was determined to have severe renal scarring. | The outcome DMSA scan was 5-24 months from enrollment. The mean number of months was 6.1. | |
Secondary | The Mean Proportion of Children With Renal Scarring at the Outcome Dimercaptosuccinic Acid (DMSA) Renal Scan Taken Across the 3 Radiologists | Renal scarring was defined as decreased uptake of tracer with or without loss of contours. Three radiologists independently reviewed for scarring all DMSA scans that were of adequate quality. For each radiologist, for each child, if either kidney or both kidneys were diagnosed with scarring, then the child was determined to have renal scarring. For each radiologist, the proportion of children with scarring in a given treatment group is the number of children diagnosed with scarring divided by the number of children in the treatment group. The mean proportion of children with scarring in a given treatment group is the average proportion taken across the 3 radiologists. | The outcome DMSA scan was 5-24 months from enrollment. The mean number of months was 6.1. |
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