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Antibiotic Stewardship
Smart Prompt System vs Routine Care for Urinary Tract Infection
N/A
Waitlist Available
Led By Richard Platt, MD, MS
Research Sponsored by Harvard Pilgrim Health Care
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 15 month intervention
Awards & highlights
Study Summary
This trial will compare the effects of two different methods of treating UTIs in adults. One method is the standard antibiotic stewardship practices, and the other is a real-time precision medicine computerized physician order entry smart prompts.
Who is the study for?
The INSPIRE-ASP UTI Trial is for HCA hospitals that use MEDITECH electronic health record systems and admit non-critically ill adults with urinary tract infections. Individual patients are not directly enrolled; instead, the trial involves 59 hospitals.Check my eligibility
What is being tested?
This trial compares usual antibiotic stewardship practices against a new approach using smart prompts in the hospital's computerized order entry system to predict resistance to antibiotics in adult UTI patients.See study design
What are the potential side effects?
Since this trial focuses on hospital practices rather than direct patient interventions, it does not involve side effects in the traditional sense of medication or treatment-related adverse events.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 15 month intervention
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~15 month intervention
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Extended-Spectrum Days Of Antibacterial Therapy (ES-DOT) per Empiric Day
Secondary outcome measures
Antipseudomonal Antibiotic Days Of Therapy (ES-DOT) per Empiric Day
Vancomycin Days of Antibacterial Therapy per Empiric Day
Other outcome measures
Antibacterial Escalations [Safety Outcome 1]
Empiric and Total Antibacterial Costs
Extended-Spectrum Days of Therapy with Inpatient Extended-Spectrum (ES) Antibacterial Treatment after Empiric Period
+5 moreTrial Design
2Treatment groups
Active Control
Group I: INSPIRE CPOE Smart PromptActive Control1 Intervention
Use of a computerized physician order entry (CPOE) smart prompt alert to guide empiric choice of antibiotics for UTI in non-ICU patients in the first 3 days of hospitalization.
Group II: Routine CareActive Control1 Intervention
Continued routine antibiotic stewardship strategies.
Find a Location
Who is running the clinical trial?
Brigham and Women's HospitalOTHER
1,611 Previous Clinical Trials
11,470,460 Total Patients Enrolled
Centers for Disease Control and PreventionFED
875 Previous Clinical Trials
22,477,343 Total Patients Enrolled
1 Trials studying Urinary Tract Infection
208 Patients Enrolled for Urinary Tract Infection
University of California, IrvineOTHER
543 Previous Clinical Trials
1,922,942 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- The healthcare facility uses MEDITECH as their electronic health record system.The clinical trial is focused on adults who have been admitted to HCA hospitals with a urinary tract infection.I'm sorry, but the term "Facility" on its own is not specific enough for me to provide a simplified explanation. If you can provide more context or details about the specific criterion you are referring to, I'd be happy to help.
Research Study Groups:
This trial has the following groups:- Group 1: INSPIRE CPOE Smart Prompt
- Group 2: Routine Care
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Urinary Tract Infection Patient Testimony for trial: Trial Name: NCT03697096 — N/A
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
How many sites within the city are carrying out this scientific investigation?
"This research study is enrolling patients at Research Medical Center in Kansas City, Missouri, Swedish Medical Center in Denver Colorado and Poinciana Medial Centre in Kissimmee Tennessee. In addition, there are 59 other medical centres across the country where this trial can be accessed."
Answered by AI
Are there any remaining slots available for participants in this research?
"The clinicaltrials.gov website confirms that this research study is not currently accepting new candidates; the original posting date was October 1st 2018, with the last update from June 16th 2022. Even though recruitment for this particular trial has concluded, there are 796 other active medical trials looking for participants at present."
Answered by AI
Who else is applying?
What state do they live in?
Georgia
California
Other
Texas
How old are they?
18 - 65
What site did they apply to?
Regional Medical Center of San Jose
Southern Hills Hospital - Vegas
TriStar Horizon Medical Center
Other
What portion of applicants met pre-screening criteria?
Met criteria
Did not meet criteria
How many prior treatments have patients received?
0
2
3+
Why did patients apply to this trial?
nothing works for me. To get treatment for a UTI. so far, nothing works for me! I have been dealing with UTI's my entire life. I know this sounds horrible, but I have just gotten used to living life with them because nothing ever works for treating them.
PatientReceived no prior treatments
What questions have other patients asked about this trial?
How long will it take? What will my weekly requirements look like/ what will the trial schedule look like>?
PatientReceived no prior treatments
How responsive is this trial?
Average response time
- < 1 Day
Most responsive sites:
- Kingwood Medical Center: < 24 hours
Typically responds via
Phone Call
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