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Funding Period ended, did not reach full sample size due to limited numbers of eligible patients
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Our study aims to test the utility of computer-assisted treatment for uncomplicated, recurrent urinary tract infections (UTIs) for women receiving care in safety net health care facilities. As of November 2009, we are also testing the utility of computer-assisted treatment for certain types of complicated cystitis (i.e. women with voiding symptoms and one of the following complicating symptoms: fever, flank pain, or symptoms greater than 7 days).
An English version of the UTI Kiosk module was validated at UCSF urgent care clinic in 2005, and has been successfully integrated into the clinical work flow at this clinic for over 2 years. The computer-based module is housed in a freestanding kiosk with a touch-screen monitor and audio handset to allow patients with low literacy and minimum computer skills to complete the module. A printer in the kiosk provides a summary of the patient's responses to each question in the module, as well as a prescription for the clinic physician to sign and return to the patient.
It's important to emphasize that the computer only "fast-tracks" women who will be treated with antibiotics. All other women see the provider as usual. Also, all women who are eligible for computer treatment may opt to see a provider instead.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Group 1 - uncomplicated UTI | Experimental | Would receive computer-assisted treatment for a uncomplicated UTI. |
|
| Control Group 1 | Active Comparator | Qualified for expedited treatment for uncomplicated cystitis but would receive usual care in the Emergency Department of Community Health Center. |
|
| Treatment Group 2 - Complicated Cystitis | Experimental | Would receive expedited treatment for complicated cystitis with longer antibiotic course than the simple UTI patients. |
|
| Control Group 2 | Active Comparator | Qualified for expedited treatment for complicated cystitis treatment but would receive usual care in the clinic or emergency department. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Computer-assisted treatment group | Other | This group will receive computer-assisted expedited treatment for uncomplicated UTI or complicated cystitis based on their symptoms and past medical history reported on the computer. |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of subjects with treatment failure or relapse | 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Patient acceptability of treatment by computer | 21 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ralph Gonzales, MD | University of California, San Francsico | Principal Investigator |
| John Stein, MD | University of California, San Francisco | Principal Investigator |
| Bradley Frazee, MD | Alameda County Medical Centers, Highland Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CMC Fresno Emergency Department | Fresno | California | 93701 | United States | ||
| La Clinica |
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| Usual care group | Other | This group will receive usual care for an uncomplicated UTI or complicated cystitis in the Emergency Department or Community Health Center. |
|
| Oakland |
| California |
| 94601 |
| United States |
| Highland Hospital Emergency Department | Oakland | California | 94602 | United States |
| San Francisco General Hospital - Emergency Department | San Francisco | California | 94110 | United States |
| UCSF Emergency Deparmtent | San Francisco | California | 94143 | United States |
| ID | Term |
|---|---|
| D014552 | Urinary Tract Infections |
| D003556 | Cystitis |
| ID | Term |
|---|---|
| D007239 | Infections |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D001745 | Urinary Bladder Diseases |
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