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Failure to recruit
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The Uroshield device is a commercially available device with two parts: a disposable actuator which attaches to the external portion of the catheter and a portable battery. The device sends out low-frequency ultrasound waves which run along the surfaces of the catheter. These acoustic waves prevent bacteria from adhering to the catheter and prevent the formation of biofilm. Our objective is to conduct a pilot study to determine if the UroShield device can reduce bacteriuria and catheter biofilm formation among neurogenic bladder patients with an indwelling catheter, as well as improve urinary quality of life and symptoms.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sham | Sham Comparator | Inactive uroshield device |
|
| Active Uroshield | Experimental | Active uroshield device |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Uroshield | Device | The Uroshield device sends out low-frequency ultrasound waves which run along the surface of the catheter. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Bacteriuria | Proportion with bacteriuria >10^5 cfu at day 30 | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Neurogenic bladder symptom score (NBSS) | Validated symptom score that measures symptoms related to neurogenic bladder dysfunction and urinary quality of life. Total scale ranges from 0-74, and a lower number is considered a better outcome and represents lower symptom burden. | 30 days |
| Patient subjective rating of amount of sediment/debris at the end of the 30 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Josephs Hospital | London | Ontario | N6A 4V2 | Canada |
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| ID | Term |
|---|---|
| D001750 | Urinary Bladder, Neurogenic |
| D014552 | Urinary Tract Infections |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
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| Sham Uroshield | Device | The sham Uroshield device is identical to the active machine, but it does not send out low-frequency ultrasound waves along the surface of the catheter. |
|
| 30 days |
| Total bacterial cell counts | 30 days |
| Microbiome comparison of biofilms | 30 days |
| Scanning electron microscopy of biofilms | 30 days |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007239 | Infections |