Computer-Assisted Treatment of Urinary Tract Infection in Emergency Departments and Community Health Centers (UTI-Kiosk)

University of California San Francisco (UCSF)

Status: Terminated

Conditions: Urinary Tract Infections

Treatments: Other: Usual care group; Other: Computer-assisted treatment group

Study type: Interventional

Funder types: Other

Identifiers

NCT00731315

H12132-32499-02

Details and patient eligibility

About

Our study aims to test the utility of computer-assisted treatment for uncomplicated, recurrent urinary tract infections (UTIs) for women receiving care in safety net health care facilities. As of November 2009, we are also testing the utility of computer-assisted treatment for certain types of complicated cystitis (i.e. women with voiding symptoms and one of the following complicating symptoms: fever, flank pain, or symptoms greater than 7 days).

Full description

An English version of the UTI Kiosk module was validated at UCSF urgent care clinic in 2005, and has been successfully integrated into the clinical work flow at this clinic for over 2 years. The computer-based module is housed in a freestanding kiosk with a touch-screen monitor and audio handset to allow patients with low literacy and minimum computer skills to complete the module. A printer in the kiosk provides a summary of the patient's responses to each question in the module, as well as a prescription for the clinic physician to sign and return to the patient.

It's important to emphasize that the computer only "fast-tracks" women who will be treated with antibiotics. All other women see the provider as usual. Also, all women who are eligible for computer treatment may opt to see a provider instead.

Enrollment: 200 patients

Sex: Female

Ages: 18 to 64 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Female
• 18-64 years old

Exclusion criteria

• Below 18 or Above 64
• Male
• New flank pain
• severe vomiting
• High blood sugar or diabetes
• surgery on kidneys
• chronic kidney disease
• Previous cancer or chemotherapy
• HIV or AIDS
• pregnant or suspected pregnancy

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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200 participants in 4 patient groups

Treatment Group 1 - uncomplicated UTI

Experimental group

Description:

Would receive computer-assisted treatment for a uncomplicated UTI.

Treatment:

Other: Computer-assisted treatment group

Control Group 1

Active Comparator group

Description:

Qualified for expedited treatment for uncomplicated cystitis but would receive usual care in the Emergency Department of Community Health Center.

Treatment:

Other: Usual care group

Treatment Group 2 - Complicated Cystitis

Experimental group

Description:

Would receive expedited treatment for complicated cystitis with longer antibiotic course than the simple UTI patients.

Treatment:

Other: Computer-assisted treatment group

Control Group 2

Active Comparator group

Description:

Qualified for expedited treatment for complicated cystitis treatment but would receive usual care in the clinic or emergency department.

Treatment:

Other: Usual care group