Improving Care for Uncomplicated URinary Tract Infection-associated Symptoms in Primary Healthcare Settings in INDOnesia

NCT06307067 | Not Yet Recruiting

• 1 other identifier: URINDO
• Study Type: observational
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

In the present study, we aim to analyze the impact of the introduction of a urinary dipstick test for patients presenting with uncomplicated UTI-associated symptoms on antibiotic prescription in primary health care in Indonesia. In addition, the knowledge of HCW regarding antibiotics and prudent use of antibiotics in the community setting will be investigated. Specific aims of the study:

1. 1.To analyze the quality of antibiotic prescriptions for uncomplicated UTI in the primary health care settings in Indonesia, before introduction of urinary dipstick testing compared to after introduction of urinary dipstick testing.
2. 2.To analyze the knowledge level of healthcare workers on uncomplicated UTI and prudent antibiotic use in primary health care settings in Indonesia.

Conditions

Urinary Tract Infections

Keywords

antimicrobial use; diagnostic test

Outcome Measures

Primary Outcomes (1)

• appropriateness of prescriptions for uncomplicated UTI-associated symptoms in the primary health care settings in Indonesia

  2024

Study Arms (2)

Pre-intervention group

patients being treated according to the old method (no dipstick as diagnostic test)

Post-intervention group

patients being treated according to the new method (dipstick as diagnostic test)

Diagnostic Test: Urine dipstick

Interventions

Urine dipstick DIAGNOSTIC_TEST

Urine dipstick is a point of care test that can be performed on the urine in the public health center.

Post-intervention group

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Female and male patients will be included, but women suffer more from uncomplicated UTI.
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients that come to a public health center with symptoms of an uncomplicated urinary tract infection

You may qualify if:

• All adult patients with uncomplicated urinary tract infection

You may not qualify if:

• patients who have recurrent episodes of uncomplicated UTI, pregnant women, and patients with recent antibiotic use (any antibiotic use within 3 months before visit)

Sponsors & Collaborators

• Erasmus Medical Center: lead
• Saiful Anwar Hospital: collaborator
• Brawijaya University, Malang, Indonesia: collaborator
• Diponegoro University/Diponegoro National Hospital, Semarang, Indonesia: collaborator
• Bali Mandara Hospital, Denpasar, Bali, Indonesia: collaborator

Study Sites (1)

Erasmus Medical Center

Rotterdam, South Holland, 3015 GD, Netherlands

Location

Biospecimen

Retention: SAMPLES WITH DNA

Bacteria from urine culture

MeSH Terms

Conditions

Urinary Tract Infections

Condition Hierarchy (Ancestors)

Infections; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Week
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor, Medical coordinator Unit infection prevention

Study Record Dates

• First Submitted: March 6, 2024
• First Posted: March 12, 2024
• Study Start: March 4, 2024
• Primary Completion: November 4, 2024
• Study Completion: June 1, 2025
• Last Updated: March 12, 2024

Record last verified: 2024-03

Locations

NL (1)