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OpenTrials
Completed

NCT Number: NCT01782404

Open Prospective Study on Reduction of Bacteriuria Following Bladder Irrigation With Chlorhexidine

This a prospective, non-controlled, open, multi-center study evaluating the reduction of bacteriuria after bladder irrigation with chlorhexidine in spinal cord injured patients with chronic bacteriuria practicing intermittent catheterisation (IC). Patients will be treated with chlorhexidine for bladder irrigation twice daily for a maximum of 7 days.

The study hypothesis is that bladder irrigation with chlorhexidine is efficient for a short term reduction of bacteriuria in patients performing intermittent catheterization (IC).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Spinal Cord Injury Unit, Sahlgrenska University Hospital, Gothenburg, Sweden

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Provision of informed consent
  • Female or male spinal cord injured subject aged 18 years and over
  • Bacteriuria of >10^5 CFU/mL of >1 bacterial species verified during screening visit
  • Regular users of intermittent catheterisation as primary method for bladder management (defined as a normal catheterisation frequency of at least 3 times daily for at least 1 month)
  • Ability to retain fluid in the bladder (approx. 120 ml) for at least 10 minutes, as judged by the investigator

Exclusion criteria

  • Signs or symptoms of symptomatic UTI that requires treatment, as judged by the investigator.
  • Ongoing antibiotic treatment
  • Known anatomical pathology of the urinary tract that could compromise results, as judged by investigator
  • Subject with severe catheterisation difficulties, as judged by investigator
  • Known hypersensitivity to chlorhexidine
  • Use of other instillation products
  • Pregnancy
  • Use of medications that may affect the bacterial culture in the urine and bladder (e.g. methenamine hippurate)
  • Involvement in the planning and conduct of the study (applies to both Wellspect HealthCare staff and staff at the study site)
  • Previous enrolment or allocation of treatment in the present study.
  • Simultaneous participation in another clinical study that may interfere with the present study.
  • Severe non-compliance to protocol as judged by the investigator and/or Wellspect HealthCare

Treatment and study plan

Chlorhexidine

Device

Bladder irrigation with chlorhexidine 0.2 mg/ml twice daily

Primary outcomes

  1. Proportion of patients with bacteriuria <10^3 CFU/ml

    Time frame: 7 days

    Bacteriuria will be followed by daily urinary cultures, 3 hours after morning irrigation. The proportion of patients with at least one sample <10^3 CFU/ml within the 7 day treatment period will be evaluated.

Secondary outcomes

  1. Time (number of days) to reduction of bacteriuria (<10^3 CFU/ml)

    Time frame: 7 days

    Bacteriuria will be followed by daily urinary cultures, 3 hours after morning irrigation. The number of days until reduction of bacteriuria (<10^3 CFU/ml) will be evaluated. Maximum treatment period is 7 days.

Sponsors and collaborators

Lead sponsor

Wellspect HealthCare

Industry

Registry information

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Feb 1, 2013
Registry last updated
Aug 13, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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