INterest of the Negative Predictive Value of Integrons in Choosing a Narrow-spectrum Empirical anTibiotic Treatment vs Usual Empirical Antibiotic Treatment for Urinary Tract infectionS in the PEDiatric Emergency Department
NCT05066854 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 36
Last updated 2025-11-26
Summary
INVICTUS PED primary objective is to show the non-inferiority of an empirical antibiotic therapeutic management guided by the early detection of integrons in the urine, compared to a usual empirical antibiotic treatment, for the recovery of children admitted to the pediatric emergency department (ED) with a non-severe urinary tract infection (UTI) with fever
Conditions
- Urinary Tract Infections in Children
Interventions
- PROCEDURE
-
integron research
Patients with suspected UTI with fever will be screened at their admission to the pediatric ED. Urine samples will be sent to the laboratory for culture and integron PCR according to routine practice. Results of the integron search will be given to the investigator. Patients in the experimental group with a positive or uninterpretable PCR will also receive an empirical antibiotic treatment based on the usual practice of each center according to the GPIP guidelines. Patients in the experimental group with a negative PCR will receive a treatment with SXT at the recommended dose.
- PROCEDURE
-
usual practice
Patients with suspected UTI with fever will be screened at their admission to the pediatric ED. Patients in the control group will receive an empirical antibiotic treatment based on the usual practice of each center according to the GPIP guidelines.
Sponsors & Collaborators
-
University Hospital, Limoges
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 3 Months
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-10-18
- Primary Completion
- 2025-11-17
- Completion
- 2025-11-17
Countries
- France
Study Locations
More Related Trials
-
Evaluation of the Plasmatic NGAL as a Predictive Marker of Renal Injury in Children With Urinary Infection. (Perf-NGAL-IU)
NCT04191785 ·Status: COMPLETED ·Phase: NA
-
Point-of-Care Ultrasonography for Intussusception
NCT03360643 ·Status: COMPLETED ·Phase: NA
-
Quick-Wee Versus Bladder Stimulation System to Collect Midstream Urine From Pre-continent Infants
NCT04587999 ·Status: COMPLETED ·Phase: NA
-
Ultrasonography in Children With First Febrile Urinary Tract Infection
NCT05814250 ·Status: RECRUITING
-
Pediatric Acute Gastrointestinal Bleeding Registry
NCT03090945 ·Status: UNKNOWN
-
Hyperhydration in Children With Shiga Toxin-Producing E. Coli Infection
NCT05219110 ·Status: RECRUITING ·Phase: NA
-
Antiseptic-coated Intermittent Urinary Catheter
NCT02697162 ·Status: WITHDRAWN ·Phase: PHASE2/PHASE3
-
Ultrasound-Assisted Lumbar Puncture in Children
NCT03099642 ·Status: COMPLETED ·Phase: NA
-
Does Hirschsprung Disease Increase the Risk of Febrile Urinary Tract Infection in Children
NCT04837963 ·Status: COMPLETED
-
Ultrasound-guided Peripheral Vascular Access: What Approaches in Paediatrics?
NCT02483507 ·Status: COMPLETED ·Phase: NA
-
Prevention of Renal Failure in Children With Urinary Tract Infections
NCT00316043 ·Status: COMPLETED ·Phase: NA
-
Effect of Use of a New Technique for Pediatric Urine Collection in ER
NCT02117102 ·Status: UNKNOWN ·Phase: NA
-
Construction and Validation of a Tool for Automatic Identification of Care Pathways At Risk of Sub-optimality in the Management of Severe Infections in Children (DIABACT IV)
NCT02167802 ·Status: COMPLETED
-
Screening for Bleeding Disorders in Children
NCT05214300 ·Status: COMPLETED
-
Ultrasound Guided IV Access in a Pediatric Emergency Department
NCT02125552 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Emergency Imaging Strategy for the Diagnostic Management of Renal Colic
NCT05618262 ·Status: COMPLETED
-
The Effect of Sonographic Bladder Compressive Technique for Bag Urine Collection in Pediatrics
NCT03152851 ·Status: UNKNOWN ·Phase: NA
-
Study to Determine Pediatric Bladder Volume Prior to Catheterization
NCT00847392 ·Status: WITHDRAWN ·Phase: NA
-
Evaluation of the Efficiency of Autologous Adipocytes Graft in Endoscopic Treatment in Vesico-Renal Reflux in Children
NCT00367159 ·Status: UNKNOWN ·Phase: PHASE3
-
Comparison of Infant Pain Responses Between Two Different Methods of Urine Collection
NCT00298584 ·Status: UNKNOWN ·Phase: PHASE3
-
A National Prospective Cohort of Patients With Idiopathic Nephrotic Syndrome Beginning in Childhood.
NCT04207580 ·Status: RECRUITING
-
Recent Techniques for Diagnosing Central Venous Catheter-related Bloodstream Infections in Children
NCT01249976 ·Status: COMPLETED ·Phase: NA
-
Intraperitoneal Pressure Measurements in Children
NCT05149508 ·Status: COMPLETED
-
Contrast Enhanced Ultrasound for Evaluation of Pediatric Abdominal Trauma
NCT01763840 ·Status: COMPLETED ·Phase: PHASE1
-
Therapeutic Orientation Test in Thrombotic Microangiopathy
NCT04777435 ·Status: RECRUITING ·Phase: NA