General Practitioner Reassessment of Urinary Infection Antibiotherapy Prescribed by Emergency Departments

NCT03928951 | Completed

• 1 other identifier: 2019-CHITS-01
• Study Type: observational
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Urinary infections are at the origin of many emergency department consultations and antibiotic prescriptions. Increase of bacteria resistance to antibiotics is promoted by an inappropriate use of those antibiotics but initial prescription in emergency departments is complicated by brief clinical examinations, unavailable sampling results and risks of multi-resistant bacteria. Large diffusion of new recommendations for urinary infection management should improve the quality of initial antibiotic prescription. However emergency physicians have no knowledge of the reassessment of antibiotherapy 48 to 72 hours after initial prescription by general practitioners which is a quality criterion of good antibiotic use. The main purpose of this study is to estimate the reassessment rate by general practitioners of the urinary infection antibiotherapies prescribed in emergency departments. This will allow assessing the quality of initial antibiotic prescription and help to improve practices.

Conditions

Urinary Tract Infections

Keywords

Urinary infections; Antibiotherapy; Emergency; Reassessment

Outcome Measures

Primary Outcomes (1)

• Rate of antibiotherapies modified by general practitioners

  Number of antibiotic prescriptions modified by general practitioners divided by the total number of initial antibiotic prescriptions

  6 months

Secondary Outcomes (5)

• Rate of initial antibiotherapies not relevant to recommendations

  6 months

• Rate of initial antibiotherapies not consistent with recommendations

  6 months

• Rate of reassessments not relevant to recommendations

  6 months

• Rate of reassessments not consistent with recommendations

  6 months

• Frequence of use of shared medical file

  6 months

Study Arms (1)

Patients suffering from urinary infection

Patients consulting in one of Toulon - La Seyne sur Mer hospital emergency departments because of urinary infection

Other: General practitioner reassessment of urinary infection antibiotherapy prescribed by emergency departments

Interventions

General practitioner reassessment of urinary infection antibiotherapy prescribed by emergency departments OTHER

Antibiotherapy will be prescribed by emergency physicians and general practitioners will be contacted 4 to 5 days later to know if antibiotherapy was modified

Patients suffering from urinary infection

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients consulting in emergency departments of Toulon La Seyne sur Mer hospital because of a urinary infection and to whom antibiotherapy is prescribed

You may qualify if:

• Every patient more than 18 years who was administered antibiotherapy for urinary infection in emergency department or for whom urinary infection was diagnosed in emergency department (cystitis, acute pyelonephritis, prostatitis)

You may not qualify if:

• Patients less than 18 years old
• Patients opposed to their data use
• Patients hospitalized more than 24 hours
• Patients taking antibiotherapy already before their arrival in emergency department
• Patients without sufficient reading capacities or understanding of french language to express opposition to their research participation
• Any other reason which, according to investigator, might interfere with research objective evaluation

Sponsors & Collaborators

• Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer: lead

Study Sites (1)

Centre Hospitalier Intercommunal Toulon - La Seyne sur Mer

Toulon, Var, 83056, France

Location

MeSH Terms

Conditions

Urinary Tract Infections; Emergencies

Condition Hierarchy (Ancestors)

Infections; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Mouna EL OMRI, MD

  Centre Hospitalier Intercommunal Toulon - La Seyne sur Mer

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 24, 2019
• First Posted: April 26, 2019
• Study Start: June 14, 2019
• Primary Completion: September 12, 2019
• Study Completion: September 12, 2019
• Last Updated: November 29, 2019

Record last verified: 2019-11

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)