Urinary Tract Infections
Conditions
Keywords
UTI, Kiosk, Computer Assisted Care, cystitis
Brief summary
Our study aims to test the utility of computer-assisted treatment for uncomplicated, recurrent urinary tract infections (UTIs) for women receiving care in safety net health care facilities. As of November 2009, we are also testing the utility of computer-assisted treatment for certain types of complicated cystitis (i.e. women with voiding symptoms and one of the following complicating symptoms: fever, flank pain, or symptoms greater than 7 days).
Detailed description
An English version of the UTI Kiosk module was validated at UCSF urgent care clinic in 2005, and has been successfully integrated into the clinical work flow at this clinic for over 2 years. The computer-based module is housed in a freestanding kiosk with a touch-screen monitor and audio handset to allow patients with low literacy and minimum computer skills to complete the module. A printer in the kiosk provides a summary of the patient's responses to each question in the module, as well as a prescription for the clinic physician to sign and return to the patient. It's important to emphasize that the computer only fast-tracks women who will be treated with antibiotics. All other women see the provider as usual. Also, all women who are eligible for computer treatment may opt to see a provider instead.
Interventions
OTHERComputer-assisted treatment group
This group will receive computer-assisted expedited treatment for uncomplicated UTI or complicated cystitis based on their symptoms and past medical history reported on the computer.
OTHERUsual care group
This group will receive usual care for an uncomplicated UTI or complicated cystitis in the Emergency Department or Community Health Center.
Sponsors
University of California, San Francisco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
* Female * 18-64 years old
Exclusion criteria
* Below 18 or Above 64 * Male * New flank pain * severe vomiting * High blood sugar or diabetes * surgery on kidneys * chronic kidney disease * Previous cancer or chemotherapy * HIV or AIDS * pregnant or suspected pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of subjects with treatment failure or relapse | 21 days |
Secondary
| Measure | Time frame |
|---|---|
| Patient acceptability of treatment by computer | 21 days |
Countries
United States
Outcome results
None listed