Restricted Reporting for Positive Urine Cultures

Urinary Tract Infection Clinical Trial

Official title:

Restricted Reporting for Positive Urine Cultures Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02797613
• Other study ID #: MUN-01
• Status: Completed
• Phase: N/A
• Start date: January 1, 2017
• Est. completion date: May 1, 2017

Study information

• Verified date: February 2020
• Source: Memorial University of Newfoundland
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Asymptomatic bacteriuria (AB) is a condition in which bacteria are detected in urine culture without urinary symptoms. The inappropriate use of antibiotic treatment for AB selects bacterial flora to express resistance mutations. Reducing inappropriate antibiotic use for AB is difficult, since the microbiology laboratory cannot distinguish patients with AB. The investigators study will use a restricted laboratory report requesting the physician to call the laboratory for culture results. The restricted report may reduce the rate of inappropriate treatment of AB.

Description:

Positive urine cultures during the study period will be randomized to restricted microbiology laboratory reporting or standard microbiology laboratory reporting. Physician or patient consent will not be collected. Patient records will be assessed by the investigator to determine if patients have AB or urinary tract infection. Physician antibiotic treatment decision in both groups will be collected.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 110
• Est. completion date: May 1, 2017
• Est. primary completion date: May 1, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• positive urine culture from inpatients at Health Sciences Centre or St. Clare's Mercy Hospital or outpatients during study period.

Exclusion Criteria:

• pregnancy,

• antibiotic treatment at the time of urine collection,

• collection from an indwelling catheter,

• admission to long term care facility.

Related Conditions & MeSH terms

• Bacteriuria
• Urinary Tract Infection
• Urinary Tract Infections

Intervention

Behavioral:
• Restricted Reporting
An abbreviated version of the microbiology report indicating that growth is present and the physician should call the lab for further details if clinically important

Locations

Country	Name	City	State
Canada	Health Sciences Center	Saint John's	Newfoundland and Labrador

Sponsors (1)

Lead Sponsor	Collaborator
Memorial University of Newfoundland

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The Number of Patients Receiving Appropriate Treatment	Sum of urinary tract infection treated and asymptomatic bacteriuria not treated	72 hours from positive culture