NCT03554603

Modified Reporting of Positive Urine Cultures Collected From Long Term Care

Modified Reporting of Positive Urine Cultures Collected From Long Term Care, a Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 100 (actual)
• Sponsor: Memorial University of Newfoundland · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

Asymptomatic bacteriuria (AB) is a condition in which bacteria are detected in urine culture without urinary symptoms. The inappropriate use of antibiotic treatment for AB selects bacterial flora to express resistance mutations. Reducing inappropriate antibiotic use for AB is difficult, since the microbiology laboratory cannot distinguish patients with AB. The investigators study will use a restricted laboratory report requesting the physician to call the laboratory for culture results. The restricted report may reduce the rate of inappropriate treatment of AB.

Detailed description

Positive urine cultures during the study period will be randomized to restricted microbiology laboratory reporting or standard microbiology laboratory reporting. Physician or patient consent will not be collected. Patient records will be assessed by the investigator to determine if patients have AB or urinary tract infection. Physician antibiotic treatment decision in both groups will be collected.

Conditions

• Urinary Tract Infections
• Asymptomatic Bacteriuria

Interventions

Type	Name	Description
BEHAVIORAL	Modified Report	An abbreviated version of the microbiology report indicating that growth is present and the physician should call the lab for further details if clinically important.

Timeline

• Start date: 2018-11-05
• Primary completion: 2019-07-31
• Completion: 2019-07-31
• First posted: 2018-06-13
• Last updated: 2024-03-01
• Results posted: 2024-03-01

Locations

1 site across 1 country: Canada