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Application of a Prediction Model for Directing Antibiotic Use in the Treatment of Urinary Tract Infection in an Ambulatory Setting

RecruitingNAAges 18 Years - anyFemaleUniversity Hospitals Cleveland Medical Center
NCT06976125 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Urinary tract infection (UTI) is when bacteria enter the urinary system and cause an infection. UTIs cause symptoms including burning when peeing, a feeling of an increased urge to pee, and cloudy or strong-smelling urine. Sometimes, severe UTIs can also cause fever, abdominal pain, and/or lower back pain. In the emergency department (ED), healthcare providers rely on symptoms, along with a urine analysis and a urine culture to diagnose a UTI. A urine analysis involves taking a sample of urine and analyzing different factors like color, acidity, presence of blood cells, presence of bacteria. An abnormal urine analysis increases the likelihood that patients might have a UTI, but it does not confirm it. A positive urine analysis will lead to provider's sending a sample of urine for a urine culture. A urine culture is used to grow whatever bacteria is in the collected urine. If growth is s

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📋 Eligibility rules (as published)
Inclusion Criteria: * Female sex * Age \>18 years old * Discharged from the hospital after ER visit * Discharge ICD code consistent with a UTI diagnosis * Antibiotic prescribed for UTI at the time of discharge Exclusion Criteria: * Male sex * Necessity for chronic bladder catheterization or discharge with a urinary catheter * Patients who have an Emergency Severity Index (ESI) of 1 and 2 * Patients who verbalize to the study team member that their pain is a 6 or higher * Patient set to be transferred to inpatient care * History of bladder augmentation * Pregnancy (this will be confirmed with a negative pregnancy test which is ordered in the ER)
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What it tests

  • Decision Aid-prediction model
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Where

1 site
University Hospitals Cleveland Medical Center
Cleveland, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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