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At the end of most urological procedures, the doctor inserts a urethral catheter for a period of up to 5 days. According to AUA's guidelines, prophylactic antibiotic is indicated during catheter removal.
The aim of our study is to check the influence of the antibiotic treatment on urinary tract infections after catheter removal
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Antibiotic prophylaxis | Experimental | Single dose of p.o. antibiotic given 1 hour before catheter removal. The antibiotic of choice is Cefuroxime axetil 500 mg. For penicillin allergy, trimethoprim/sulfamethoxazole 160mg/800mg. |
|
| No treatment | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cefuroxime axetil (trimethoprim/sulfamethoxazole if penicillin allergy) | Drug | single dose of P.O. Cefuroxime Axetil 500 mg. For penicillin allergy patients, single dose of P.O. Trimethoprim/Sulfamethoxazole 160mg/800mg |
| Measure | Description | Time Frame |
|---|---|---|
| UTI | Number of participants with primary care/emergency department visits because of dysuria, fever, chills or other UTI related symptoms | 30 day |
| Measure | Description | Time Frame |
|---|---|---|
| positive culture approved UTI | Number of participants with primary care/emergency department visits because of dysuria, fever, chills or other UTI related symptoms, and a positive urine/blood culture taken during the time frame | 30 day |
| Hospitalizations due to UTI |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Meir Medical Center | Kfar Saba | Israel |
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| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| ID | Term |
|---|---|
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
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| ID | Term |
|---|---|
| C040738 | cefuroxime axetil |
| D014295 | Trimethoprim |
| ID | Term |
|---|---|
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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2 arms: antibiotic prophylaxis vs no treatment
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| 30 day |
| Bacteremia | Number of patients admitted to the hospital, that have at least 1 positive blood culture | 30 day |