Urinary Tract Infection Clinical Trial
Official title:
Risk Factors for Postpartum Bacteruria, Does Labor Cause UTI?
In the last years urinary tract infections (UTI) and pyelonephritis have been the most
common reason for readmission to our hospital after birth. UTI is know to be one of the
leading causes of postpartum fever affecting about 3%-8% of all postpartum women.
The investigators hypothesize that collecting urine cultures pre- and postnatally may help
identify women at risk for developing UTI, while treating women with positive cultures could
decrease the rehospitalization rate due to postpartum fever. Collecting data during delivery
may help identify women at risk for this complication.
The study is planned as a randomized controlled study with 500 women in each arm. The study
group will have pre and post labor urine cultures taken, and the risk factors during
delivery will be documented, while the control group will have no cultures taken, as the
common practice prior to the study.
Women with positive cultures will be contacted by telephone, and antibiotic treatment
recommended according to bacteria sensitivity. All women will be contacted by telephone 1
month post partum and data regarding urinary tract symptoms and need for hospitalization,
will be collected. The rehospitalization rate will be documented and compared between the
two groups.
The assumption is that routine urine culture to women in the peripartum period may reduce
the UTI rate and hospitalization after delivery.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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