Antibiotic treatment for intermittent bladder catheterisation with once daily prophylaxis the AnTIC study: Study protocol for a randomised controlled trialReport as inadecuate




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Trials

, 17:276

First Online: 04 June 2016Received: 17 December 2015Accepted: 11 May 2016DOI: 10.1186-s13063-016-1389-y

Cite this article as: Brennand, C., von Wilamowitz-Moellendorff, A., Dunn, S. et al. Trials 2016 17: 276. doi:10.1186-s13063-016-1389-y

Abstract

BackgroundClean intermittent self-catheterisation is an important management option for people who cannot empty their bladder effectively. Recurrent urinary tract infections are common in these patients. Data from recent studies suggest that antibiotic prophylaxis may be beneficial in reducing infection risk, but the effectiveness of this intervention remains uncertain.

Methods-designThis is a 52-site, patient randomised superiority trial set in routine care comparing an experimental strategy of once daily antibiotic prophylaxis for 12 months against a control strategy of no prophylaxis in people who carry out self-catheterisation and suffer recurrent urinary tract infections. The primary outcome is number of urinary tract infections during a 12-month treatment period. Both groups will otherwise receive usual care including on demand treatment courses of antibiotics for urinary tract infection. Participants and their clinicians will not be blinded to the allocated intervention, but central trial staff managing and analysing trial data will, as far as possible, be unaware of participant allocation. The analysis will follow intention-to-treat principles.

DiscussionThis trial was commissioned and funded by the United Kingdom National Health Service following prioritisation of the research question by the National Institute for Health and Care Excellence.

Trial registrationISRCTN67145101 EUDRACT2013-002556-32. Registered on 25 October 2013.

KeywordsSelf-catheterisation Antibiotic prophylaxis Urinary tract infection Randomised controlled trial antibiotic resistance UTI RCT Electronic supplementary materialThe online version of this article doi:10.1186-s13063-016-1389-y contains supplementary material, which is available to authorized users.

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Author: Catherine Brennand - Alexander von Wilamowitz-Moellendorff - Sarah Dunn - Jennifer Wilkinson - Thomas Chadwick - Laura Terne

Source: https://link.springer.com/







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