Bladder Lavage as Decontamination Method for Asymptomatic Bacteriuria With Uropathogens in Catheterized Patients

NCT ID: NCT01772875

Last Updated: 2020-08-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2014-01-20

Brief Summary

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In patients with advanced multiple sclerosis, permanent urinary catheters are often used to manage the urinary incontinence and bladder emptying problems. These catheters will lead to urinary tract infection, blocking of the catheter etc.. Especially infections with certain bacteria such as proteus, enterobacteriaceae and ESBL producing enterobacteriaceae and pseudomonas can pose a problem for the hospital infection control and for the patient.

This study wants to evaluate the potential role of regular bladder lavage with saline, a solution of betadine, an acid solution of acetic acid and of URotainer Twin Suby G ( Braun)in the decontamination of these bladders and the prevention of clinically relevant urinary tract infections.

Detailed Description

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PAtients will be selected from the catheterised patient population of the National MS Center in Belgium for this prospective randomised comparative pilot studyon bladder lavage.

The potential benefit for the patient is a reduction in number of clinical urinary tract infections and a reduction of antibiotic use.

According to the type of bacteria that is cultured from the urine, patients will be allocated to one of 4 subgroups:

* 30 patients will recieve bladder lavage with a Isobetadine Dermicum Solution
* 20 patients will revieve bladder lavage with acetic acid solutions
* 10 patients will recieve bladder lavage with saline
* 10 patients will receive bladder lavage with Urotainer Suby G

The effect will be measured by two repeat urine cultures after the bladder lavage( 2days and 5 days).

From a safety perspective and to assess the irritation caused by the lavage, white blood cell counts in the urine will be done.

Adverse events will be monitored according to GCP regulations.

Conditions

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Catheter Related Infections

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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lavage Isobetadine Dermicum solution

Patient will receive 1 bladder lavage daily with a solution of 5ml Isobetadine Dermicum in 100cc saline

Group Type ACTIVE_COMPARATOR

bladder lavage

Intervention Type PROCEDURE

the bladder is rinced through the urinary catheter with the lavage solution

lavage Acetic Acid solution

Patients will receive a daily bladder lavage during 5 consecutive days with a solution of 0.5% acetic acid in 100cc of saline

Group Type ACTIVE_COMPARATOR

bladder lavage

Intervention Type PROCEDURE

the bladder is rinced through the urinary catheter with the lavage solution

lavage with saline

patients will receive during 5 consecutive days a bladder lavage with 100cc saline

Group Type SHAM_COMPARATOR

bladder lavage

Intervention Type PROCEDURE

the bladder is rinced through the urinary catheter with the lavage solution

lavage Urotainer Suby G

patients will receive during 5 consecutive days a bladder lavage with 100cc of Urotainer Suby G

Group Type ACTIVE_COMPARATOR

bladder lavage

Intervention Type PROCEDURE

the bladder is rinced through the urinary catheter with the lavage solution

Interventions

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bladder lavage

the bladder is rinced through the urinary catheter with the lavage solution

Intervention Type PROCEDURE

Other Intervention Names

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bladder rincing

Eligibility Criteria

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Inclusion Criteria

* patients with an indwelling catheter
* catheter associated bacteriuria with proteus, enterobacteriaceae or pseudomonas
* willing and able to give informed consent to the study

Exclusion Criteria

* patients with a clinically relevant UTI ( fever, pain or cloudy urine)
* cognitively impaired patients
* patients not able or willing to give informed consent
* patients with allergies for ISobetadine dermicum or other substances used in the protocol
* patients who only have a catheter for less than 1 month
* patients taking systemic antibiotics during the last 48h
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role collaborator

National Multiple Sclerosis Center

OTHER

Sponsor Role lead

Responsible Party

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Daphne Kos

Scientific Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dirk De Ridder, Prof.

Role: PRINCIPAL_INVESTIGATOR

National MS Center Belgium & University Hospitals KU Leuven

Locations

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National MS Center

Steenokkerzeel, Vlaams-Brabant, Belgium

Site Status

Countries

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Belgium

References

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Jaggi N, Sissodia P. Multimodal supervision programme to reduce catheter associated urinary tract infections and its analysis to enable focus on labour and cost effective infection control measures in a tertiary care hospital in India. J Clin Diagn Res. 2012 Oct;6(8):1372-6. doi: 10.7860/JCDR/2012/4229.2362.

Reference Type BACKGROUND
PMID: 23205350 (View on PubMed)

Related Links

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http://www.mscenter.be

website of the National MS Center, Belgium

Other Identifiers

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BLLAV-1

Identifier Type: -

Identifier Source: org_study_id

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