Prophylactic Antibiotics on Urethral Catheter Withdrawal

Urinary-tract infection (UTI) is the most common type of hospital-acquired infection (30% of all). The purpose of this study is to determine whether antibiotic prophylaxis for urinary catheter removal is useful at preventing catheter-associated urinary-tract infection...

Date First Received: August 2, 2005

Last Updated: April 18, 2007

Verified by: St. Antonius Hospital, April 2007

Clinical Trial Phase: Phase 4 | Start Date: January 2005

Overall Status: Completed

Estimated Enrollment: 100

Brief Summary

Official Title: “Use of Antibiotic Prophylaxis on Urethral Catheter Withdrawal: A Randomized Double-Blind Placebo-Controlled Trial”

Condition Keyword(s):

Urinary-tract infection (UTI) is the most common type of hospital-acquired infection (30% of all). The purpose of this study is to determine whether antibiotic prophylaxis for urinary catheter removal is useful at preventing catheter-associated urinary-tract infection.

Study Type: Interventional

Study Design: Prevention, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study

Detailed Clinical Trial Description

Urinary-tract infection (UTI) is the most common type of hospital-acquired infection (30% of all). The researchers undertake a double-blind, placebo-controlled trial to assess the efficacy of single-dose therapy of trimethoprim-sulfamethoxazole or ciprofloxacin, versus placebo therapy in selected groups of surgical patients who had bladder drainage scheduled to last longer than 3 days.

Intervention(s) in this Clinical Trial

  • Drug: trimethoprim-sulfamethoxazole
  • Drug: ciprofloxacin

Outcome Measures for this Clinical Trial

Primary Measures

  • Symptomatic bacteriuria
  • Asymptomatic bacteriuria

Secondary Measures

  • Antibiotic resistance patterns

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Urethral catheter in situ for at least 3 days (72h)

Exclusion Criteria:

  • Pregnancy
  • Impaired renal or hepatic function (serum creatinine > 150 mmol/l, serum transaminases > 75 IU/l)
  • Fever
  • Symptomatic urinary tract infection
  • Antibiotic use ≤ 48 hours before urinary catheter removal
  • Allergy to trimethoprim-sulfamethoxazole or ciprofloxacin
  • Urologic pathology

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: St. Antonius Hospital

Overall Clinical Trial Officials and Contacts

M. Tersmette, MD, PhD Study Director Sint Antonius Hospital, Nieuwegein  

Additional Information

Information obtained from ClinicalTrials.gov on July 02, 2009

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00126698

Study ID Number: 2005-01

ClinicalTrials.gov Identifier: NCT00126698

Health Authority: Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

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