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The Emergency Ward Center in Oslo has the last two years used a questionnaire to identify patients who qualify for treatment of acute cystitis by the use of a delegation form.
The aim of the study is to evaluate this practice, the primary objective being to evaluate if in a selected patient group the treatment outcome after identifying patients with probable acute cystitis by delegation form will be as good or better than the treatment received after a regular doctor's consultation.
The planned study will also investigate which symptoms, signs and laboratory findings that coincide with significant bacteruria.
The reference standard will be a microbiological culture of every patients urine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Delegation form | Active Comparator |
| |
| Regular doctor's consultation | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Delegation form | Other | The study aims to compare the use of a delegation form to identify patient's who qualify for antibiotic treatment for suspected acute cystitis with a regular doctor's consultation. The key outcomes are lack of bacteruria and symptoms of UTI at followup times. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients who are clinically and bacteriologically free of symptoms of urinary tract infection. | The antibiotic treatment given will be of three days length. | 6 days after start of treatment. |
| Number of patients who are clinically and symptomatologically free of symptoms. | The antibiotic treatment will be of three days length | 10 days after start of treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Morten Lindbaek, Md PhD | University of Oslo | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Legevakten i Oslo | Oslo | Oslo | 0182 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25961367 | Derived | Bollestad M, Grude N, Lindbaek M. A randomized controlled trial of a diagnostic algorithm for symptoms of uncomplicated cystitis at an out-of-hours service. Scand J Prim Health Care. 2015 Jun;33(2):57-64. doi: 10.3109/02813432.2015.1041827. Epub 2015 May 11. |
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| 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 |
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|
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D001745 | Urinary Bladder Diseases |