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Rapid Urinary Tract Infection Diagnosis and Real-time Antimicrobial Stewardship Decision Support

NCT03256825 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 400

Last updated 2020-05-12

No results posted yet for this study

Summary

The study aims to assess the accuracy and impact of rapid diagnosis and rapid diagnosis decision support on different aspects of antibiotic consumption when implemented alone or together.

Conditions

Interventions

DIAGNOSTIC_TEST

Rapid diagnostics alone

Urine samples present at the laboratory at opening on weekdays will be screened using urine flow cytometry and microscopy of centrifuged gram stained urine. Samples found positive for significant mono microbial bacteriuria will be investigated further by using direct automated phenotypic identification and antimicrobial susceptibility determination.

OTHER

Real-time antimicrobial stewardship decision support

A clinical microbiologist will be give RADS by phone to a designated clinician with the aim of: 1. Switch to active treatment if non-working empirical treatment 2. De-escalate broad spectrum empiric treatment when feasible 3. Promote early intravenous to per oral switch 4. Shorten treatment duration

Sponsors & Collaborators

  • Helse Møre og Romsdal HF

    lead OTHER_GOV

Principal Investigators

  • Einar Nilsen, MD · Møre and Romsdal Health Trust

Study Design

Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Model
SEQUENTIAL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2017-09-01
Primary Completion
2019-11-01
Completion
2019-11-01

Countries

  • Norway

Study Locations

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Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03256825 on ClinicalTrials.gov