Urinary Tract Infection
Conditions
Keywords
Report of Urinary Tract Infection episode
Brief summary
This study tests the following hypothesis: Does induced asymptomatic bacteriuria (E. coli 83972) protect against symptomatic urinary tract infections in individuals with bladder emptying dysfunctions and prone to recurrent infection episodes? The study is performed using a double-blind randomized study protocol with a cross-over, with re-inoculations being patient-blinded (phase 1). After patients have fulfilled the cross-over, those who have had bacteriuria or placebo-periods \< 12 months will be subjected to additional patient blinded inoculations (phase 2). During the entire study (phase 1+2) the study-team and the patients are unaware of urine culture results.
Interventions
Active arm: Intravesical inoculation (by urethral catheterization) on three subsequent days with 30 ml E. coli 83972 (100 000 cfu/ml). Placebo arm: Identical procedure but with saline, 30 ml.
Sponsors
Study design
Eligibility
Inclusion criteria
* Recurrent UTI * Bladder emptying dysfunction * Optimal conservative treatment incl. clean intermittent catheterization * Capable of self reporting of UTI episodes
Exclusion criteria
* Malignant disease * Immunosuppression * Recurrent pyelonephritis * Abnormalities within upper urinary tract, including renal stones and poor kidney function
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to UTI | 12 months |
| Number of UTI | During 12 months placebo or active treatment |
Countries
Sweden