Urinary Tract Infection
Conditions
Keywords
Urinary tract infection, Cystitis, Bacteruria
Brief summary
The Emergency Ward Center in Oslo has the last two years used a questionnaire to identify patients who qualify for treatment of acute cystitis by the use of a delegation form. The aim of the study is to evaluate this practice, the primary objective being to evaluate if in a selected patient group the treatment outcome after identifying patients with probable acute cystitis by delegation form will be as good or better than the treatment received after a regular doctor's consultation. The planned study will also investigate which symptoms, signs and laboratory findings that coincide with significant bacteruria. The reference standard will be a microbiological culture of every patients urine.
Interventions
The study aims to compare the use of a delegation form to identify patient's who qualify for antibiotic treatment for suspected acute cystitis with a regular doctor's consultation. The key outcomes are lack of bacteruria and symptoms of UTI at followup times.
Sponsors
Study design
Eligibility
Inclusion criteria
* Females 16-55 years * Dysuria * Increased frequency of urination
Exclusion criteria
* Pregnant * Breastfeeding child \< 1 month of age * Diabetes * Kidney disease * Fever * Poor general condition * Backpain * Abdominal pain * Increased amount of vaginal secretions * Vaginal itching or pain * Urinary tract infection in the last four weeks * Use of urinary catheter in the last four weeks * Symptoms lasting more than seven days * Ongoing antibiotic treatment * Allergy to penicillin * Use of the medicine Probecid
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients who are clinically and bacteriologically free of symptoms of urinary tract infection. | 6 days after start of treatment. | The antibiotic treatment given will be of three days length. |
| Number of patients who are clinically and symptomatologically free of symptoms. | 10 days after start of treatment | The antibiotic treatment will be of three days length |
Countries
Norway