Pyelonephritis Clinical Trial
Official title:
Antibiotic Treatment Versus no Therapy in Kidney Transplant Recipients With Asymptomatic Bacteriuria. A Prospective Randomized Study.
Objective: To determine whether antibiotic treatment of asymptomatic bacteriuria in kidney transplant recipients could be useful to prevent pyelonephritis in these patients.
Design: Randomized prospective study. Setting: University Hospital with an active kidney
transplantation program. Patients: Adult kidney transplant recipients. Interventions: Kidney
transplant recipients with asymptomatic bacteriuria will be randomly assigned to be treated
with antibiotics or to be followed without antibiotic therapy.
Measurements: Urine cultures will be collected weekly during the first month after
transplantation, every 2 weeks until three months after transplantation, every month until 6
months after transplantation and every 3 months until 12 months after transplantation. Urine
culture will be as well collected if urinary symptoms appeared.
Primary end points: To determine in both groups: the incidence of pyelonephritis.
Secondary end points: To determine outcomes in both groups (renal function, hospitalization,
rejection, graft loss, opportunistic infections and mortality) and infection by
multiresistant microorganisms.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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