Title
E. Coli 83972 Induced Asymptomatic Bacteriuria (ABU) in Patients With Recurrent Urinary Tract Infections (UTI)
Induced Asymptomatic E. Coli 83972 Bacteriuria in Patients With Recurrent Urinary Tract Infections and Bladder Dysfunction- is There a Protective Effect Against Recurrent Symptomatic Infections? A Blinded Placebo Controlled Cross-over Study.
Phase
N/ALead Sponsor
Region SkaneStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Urinary Tract InfectionIntervention/Treatment
e. coli 83972 ...Study Participants
30This study tests the following hypothesis: Does induced asymptomatic bacteriuria (E. coli 83972) protect against symptomatic urinary tract infections in individuals with bladder emptying dysfunctions and prone to recurrent infection episodes? The study is performed using a double-blind randomized study protocol with a cross-over, with re-inoculations being patient-blinded (phase 1). After patients have fulfilled the cross-over, those who have had bacteriuria or placebo-periods < 12 months will be subjected to additional patient blinded inoculations (phase 2). During the entire study (phase 1+2) the study-team and the patients are unaware of urine culture results.
Active arm: Intravesical inoculation (by urethral catheterization) on three subsequent days with 30 ml E. coli 83972 (100 000 cfu/ml). Placebo arm: Identical procedure but with saline, 30 ml.
Inclusion Criteria: Recurrent UTI Bladder emptying dysfunction Optimal conservative treatment incl. clean intermittent catheterization Capable of "self reporting of UTI episodes" Exclusion Criteria: Malignant disease Immunosuppression Recurrent pyelonephritis Abnormalities within upper urinary tract, including renal stones and poor kidney function