Dipsticks and Microscopy to Reduce Antibiotic Use in Women's Urinary Tract Infections: a Pilot Trial (MicUTI)

NACompletedINTERVENTIONAL
Enrollment

154

Participants

Timeline

Start Date

June 15, 2023

Primary Completion Date

April 30, 2024

Study Completion Date

April 30, 2024

Conditions
Cystitis AcuteAntibiotic Resistant InfectionMedication AdherenceUrinary Tract Infection BacterialUrinary Tract Infection Lower Acute
Interventions
DIAGNOSTIC_TEST

Point-of-care microscopy and dipstick guided management

"GPs will be encouraged to apply the following diagnosis and treatment algorithm (figure 1) to consenting women, taking their preferences into account:~1. If POCTs are positive for bacteria by microscopy and/or for erythrocytes by dipsticks the GP issues, at his/her own clinical judgement, a delayed or immediate prescription for an antibiotic.10 In the MicUTI intervention, delayed prescription is defined as issuing an antibiotic prescription with the advice to take the medication only when symptoms do not improve or worsen in 48 hours.~2. If POCTs are negative for bacteria and erythrocytes, the GP advises for self-help remedies according to guidelines and to do without antibiotics Study specific training in point-of-care microscopy will be provided to intervention practices."

Trial Locations (2)

91054

Stefanie Stark, Erlangen

97080

University Hospital Würzburg, Würzburg

All Listed Sponsors
collaborator

University Hospital Erlangen

OTHER

collaborator

LMU Klinikum

OTHER

collaborator

University of Bristol

OTHER

collaborator

University of Santiago de Compostela

OTHER

collaborator

Università degli Studi di Trento

OTHER

collaborator

University of Wuerzburg

OTHER

collaborator

University of Georgia

OTHER

lead

Wuerzburg University Hospital

OTHER