N39.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) men and women aged at least 60 years and a therapy indication for Nitroxolin® according to the decision of the physician (2) urine culture detecting at least one uropathogen with a bacterial count =10^5 cfu/ml (3) at least one of the following symptoms of an urinary tract infection: dysuria, pollakisuria, intensified/new acquired urinary incontinence, odor/cloudy urine, intensified/new acquired physical weakness and abnormal fatigue, suprapubic pain (4) written informed consent of the patient or its legal representative
Exclusion criteria
Exclusion criteria: (1) sepsis defined as = 2 SIRS-criteria (body temperature less than 36°C or greater than 38°C, heart rate greater than 90 beats per minute, tachypnea (high respiratory rate), with greater than 20 breaths per minute, white blood cell count less than 4000 cells/µl or greater than 12 000 cells/µl) (2) additional systemic antibiotic therapy (besides Nitroxolin®) within the last 48 h before day 1 (3) known renal insufficiency > stadium 3 (GFR <30ml/(min*m2)) (4) liver cirrhosis Child-Pugh Score B or C (5) known allergy against Nitroxolin®
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| proportion of patients with microbiological success defined as a reduction of bacterial count of less than 10^4 cfu/ml in the urine culture after antibiotic therapy with Nitroxolin® (3 x 250 mg p.o.) in patients with lower urinary tract infection, on day 12 ± 1 (5 ± 1 days after completion of therapy) | — |
Secondary
| Measure | Time frame |
|---|---|
| – Microbiological and clinical efficacy during therapy (day 3) and at the end of therapy (Tag 7 ± 1) and on day 12 ± 1 – safety and tolerance (monitoring of side effects) on the basis of creatinine (blood) and documentation of abnormally coloured urine (yes/no) – effect of urine ph-value and of Ca and Mg in the urine on clinical and microbiological efficacy | — |
Countries
Germany
Contacts
Universitätsklinikum Jena Klinik für Geriatrie