| Unique ID issued by UMIN | UMIN000001806 |
|---|---|
| Receipt number | R000002147 |
| Scientific Title | Without antibiotic prophylaxis in children with mild vesicoureteral reflux (grade 0-2) after a first urinary tract infection. : A multicenter trial. |
| Date of disclosure of the study information | 2009/03/27 |
| Last modified on | 2014/09/27 10:58:47 |
Without antibiotic prophylaxis in children with mild vesicoureteral reflux (grade 0-2) after a first urinary tract infection. : A multicenter trial.
Without antibiotic prophylaxis in children with mild vesicoureteral reflux after a first urinary tract infection.
Without antibiotic prophylaxis in children with mild vesicoureteral reflux (grade 0-2) after a first urinary tract infection. : A multicenter trial.
Without antibiotic prophylaxis in children with mild vesicoureteral reflux after a first urinary tract infection.
| Japan |
Urinary tract infection
| Pediatrics |
Others
NO
Evaluate the clinical course of the children after a first urinary tract infection without antibiotic prophylaxis to discuss the effectiveness of continuous antibiotic prophylaxis for children with mild vesicoureteral reflux.
Efficacy
Exploratory
Pragmatic
Not applicable
Relapse free survival of upper urinary tract infection.
Relapse free survival of asymptomatic bacteriuria or cystitis.
Incidence of renal scars with DMSA renal scintigraphy.
Rate of non recurrence of upper urinary tract infection.
Development rate of renal dysfunction.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
| Medicine |
Non-administration of antibiotics.
| 1 | months-old | <= |
| 48 | months-old | > |
Male and Female
1) Diagnosed first episode of UTI 8 weeks before registration.
First episode of UTI
1. Body temperature >= 38.0 degrees C.
2. Positive results of urine culture by single strain (>= 10000 CFU/ml by bladder catheterization or >= 1000 CFU/ml by bladder aspiration).
2) The presence of VUR grade 0-2, monolateral or bilateral, diagnosed 2 weeks before registration.
3) Ages at the time of diagnosis of UTI are 1 months to < 4 years.
4) Written informed consent from the patients' parents or legal guardians.
1) Gestational age < 37 weeks.
2) Weight at birth < 2000g.
3) Complex urologic malformations.
4) Neurogenic bladder.
5) Hydronephrosis or ureteral dilation over grade 3 according to SFU classification.
6) Phimosis and ballooning at urination.
7) Previous episode of UTI.
8) Using antibiotic prophylaxis for another infection.
9) Renal dysfunction at recovery phase of UTI. (By EIA method, <1year old: sCr >= 0.4, >=1year old: sCr >= 0.5)
10) Hypertension at recovery phase of UTI.
11) Liver dysfunction at recovery phase of UTI. (AST or ALT exceed over 2.5 times the upper limit of normal).
12) Known to be immunocompromised status.
13) Intractable UTI (duration of fever >= 7days after beginning of antibiotics).
14) Complicated septic shock or DIC.
15) Judged inappropriate for this study by the physician.
130
| 1st name | |
| Middle name | |
| Last name | Riku Hamada |
Tokyo Metropolitan Children's Medical Center
Department of nephrology
2-8-29 Musashidai, Fuchu-shi, TOKYO, JAPAN
042-300-5111
riku_hamada@tmhp.jp
| 1st name | |
| Middle name | |
| Last name | Riku Hamada |
Tokyo Metropolitan Children's Medical Center
Deparment of nephrology
2-8-29 Musashidai Fuchu-shi Tokyo
042-300-5111
riku_hamada@tmhp.jp
Tokyo Metropolitan Children's Medical Center
Clinical research of Tokyo metropolitan hospital group
Local Government
Japan
NO
東京都立小児総合医療センター(東京都) Tokyo Metropolitan Children's medical center
| 2009 | Year | 03 | Month | 27 | Day |
Unpublished
No longer recruiting
| 2008 | Year | 10 | Month | 20 | Day |
| 2008 | Year | 12 | Month | 01 | Day |
| 2015 | Year | 08 | Month | 31 | Day |
| 2015 | Year | 12 | Month | 01 | Day |
| 2015 | Year | 12 | Month | 01 | Day |
| 2015 | Year | 12 | Month | 01 | Day |
| 2009 | Year | 03 | Month | 27 | Day |
| 2014 | Year | 09 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002147