Urinary Tract Infection in Patients With Chronic Kidney Disease

NCT ID: NCT05674942

Last Updated: 2024-06-18

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

COMPLETED

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-06-01

Study Completion Date

2024-05-15

Brief Summary

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This study aims to investigate the etiology and associated risk factors for UTI in Egyptian chronic kidney disease patients. In addition, to identify the isolated micro-organisms and their sensitivity patterns for better anticipation of treatment regimen.

Detailed Description

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Chronic kidney disease (CKD) patients are at higher risk of urinary tract infections (UTI), as CKD is a state of chronic inflammation, metabolic disturbance and impaired immunocompetence. Moreover, patient with CKD are usually of advanced age and suffer from other comorbidities such as diabetes, hypertension, obesity, and cardiovascular diseases, which also add to their risk of infection.

UTI comprises heterogeneous conditions ranging from mild cystitis, easily treated with oral antibiotics, to life-threatening sepsis and multiple organ failure.

There is scarce information about risk factors of recurrence of UTI and infection with multidrug-resistant organisms in the Egyptian population.

Conditions

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Urinary Tract Infections Chronic Kidney Diseases

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Interventions

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Patients with urinary tract infection and chronic kidney disease

The data that will be collected from the electronic patient records at the clinics through a google form will include sociodemographic (age, sex, weight and occupation), comorbidities (e.g., HTN, DM), medications used, renal functions (serum creatinine, and CKD stage calculated by 2021 CKD-EPI creatinine equation), and in case of positive urine culture (type of microorganism and antibiogram).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Males and non-pregnant females aged ≥ 18 years old
2. Patients with CKD stages (G1 to G4)
3. Patients diagnosed with UTI due to urine culture

Exclusion Criteria

1. Non-CKD patients
2. pregnant females
3. CKD patients on immunosuppressant agents
4. ESRD patients on hemodialysis
5. Patients with structural abnormalities which make them liable to frequent UTI
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexandria University

OTHER

Sponsor Role lead

Responsible Party

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Mohamed Mamdouh Mahmoud Mohamed Elsayed , MD

Assistant professor & lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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mohamed mamdouh elsayed, MD

Role: PRINCIPAL_INVESTIGATOR

Lecturer of Nephrology & Internal Medicine, Faculty of medicine, Alexandria University

Mohammed Abdel Gawad

Role: STUDY_CHAIR

Nephrology Lecturer, School of Medicine, New Giza University (NGU), Giza, Egypt

Dalia Elzayat

Role: STUDY_CHAIR

Faculty of Pharmacy, Pharos University, Alexandria, Egypt

Reham Mekawy

Role: STUDY_CHAIR

Faculty of Pharmacy, Pharos University, Alexandria, Egypt

Salma Mahdy

Role: STUDY_CHAIR

Faculty of Pharmacy, Pharos University, Alexandria, Egypt

Salma Imam

Role: STUDY_CHAIR

Faculty of Pharmacy, Pharos University, Alexandria, Egypt

Hala Abo El-hassan

Role: STUDY_CHAIR

Faculty of Pharmacy, Pharos University, Alexandria, Egypt

Ramy Elwaraky

Role: STUDY_CHAIR

Department of Clinical Pharmacy, Kidney and Urology Center, Alexandria, Egypt

Engy Emam

Role: STUDY_CHAIR

Clinical Pharmacist, Alexandria Main University Hospital, Alexandria, Egypt

Locations

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Faculty of Medicine, Alexandria University

Alexandria, , Egypt

Site Status

Countries

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Egypt

References

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Scherberich JE, Funfstuck R, Naber KG. Urinary tract infections in patients with renal insufficiency and dialysis - epidemiology, pathogenesis, clinical symptoms, diagnosis and treatment. GMS Infect Dis. 2021 Dec 21;9:Doc07. doi: 10.3205/id000076. eCollection 2021.

Reference Type BACKGROUND
PMID: 35106269 (View on PubMed)

Gouda Z, Mashaal G, Bello AK, El Attar A, El Kemmry T, El Reweny A, El Nahas M. Egypt Information, Prevention, and Treatment of Chronic Kidney Disease (EGIPT-CKD) programme: prevalence and risk factors for microalbuminuria among the relatives of patients with CKD in Egypt. Saudi J Kidney Dis Transpl. 2011 Sep;22(5):1055-63.

Reference Type BACKGROUND
PMID: 21912051 (View on PubMed)

Dimitrijevic Z, Paunovic G, Tasic D, Mitic B, Basic D. Risk factors for urosepsis in chronic kidney disease patients with urinary tract infections. Sci Rep. 2021 Jul 13;11(1):14414. doi: 10.1038/s41598-021-93912-3.

Reference Type BACKGROUND
PMID: 34257397 (View on PubMed)

Other Identifiers

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Urinary Tract Infection

Identifier Type: -

Identifier Source: org_study_id

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