This is a multicenter, observational comparative cohort, study to evaluate the UTI related adverse event rates between Guidance® UTI clinical pathway versus the current traditional clinical pathways for urine testing.
Clinical sites will be identified by an internal database, prepared by the sponsor, based on previous experience with the sites. Study allocation will based on their current usage of Guidance® UTI and the reporting pathway (described above) will be implemented. Those who currently routinely use Guidance® UTI testing procedures will be over sampled 2:1 over those who do not routinely use Guidance® UTI. Larger clinical care systems with multiple care sites may have locations allocated to different cohort. The basis for cohort allocation will be based on the availability and willingness of providers in these markets to implement infrastructure for collecting and reporting of Guidance® UTI clinical pathway. The comparative cluster cohort will be selected from select geographies within the U.S. based on size of general population served matching to those enrolled in the Guidance® UTI clinical pathway. The method of patient care and management (e.g., test ordering and antimicrobial initiation) is at the discretion of the treating physicians. Specimens collected for suspected UTI may be sent to Pathnostics for standard bacterial identification and sensitivities. Guidance® UTI can only be performed at Pathnostics, whereas urine cultures may be performed at any lab. Trained and experienced clinical lab scientists at Pathnostics are always available to assist the ordering provider with results interpretation or any other questions on the report they may have.
Study Type
OBSERVATIONAL
Enrollment
7,921
Dispatch Health
Denver, Colorado, United States
UTI-related ED visit and/or hospitalization within 30 days of index visit
UTI-related ED visit and/or hospitalization within 30 days of index visit
Time frame: within 30 days of index visit
Composite of adverse events associated with index UTI event
Composite of adverse events associated with index UTI event Allergic reactions to antibiotic therapy Progression to pyelonephritis Nausea/vomiting, headache, skin rash, anaphylaxis/hypersensitivity reaction yeast infection (Vaginitis/vulvovaginal candidiasis) Progression to acute renal failure Tendinopathy (including tendon rupture) C. difficile infection Sepsis
Time frame: within 30 days of index visit
Recurrent UTI (rUTI) - The proportion of subjects reporting recurrence of symptomatic UTI and receive antimicrobial treatment (re-prescription) within 30 days.
Recurrent UTI (rUTI) - The proportion of subjects reporting recurrence of symptomatic UTI and receive antimicrobial treatment (re-prescription) within 30 days.
Time frame: within 30 days of index visit
Rate of empirical antibiotic starts for UTI indication
Rate of empirical antibiotic starts for UTI indication
Time frame: within 1 year of index visit
Rate of antimicrobial changes for UTI indication
Rate of antimicrobial changes for UTI indication
Time frame: within 1 year of index visit
Recurrent UTI within 1 year of index visit suspected UTI as measured by total antibiotics prescribed.
Recurrent UTI within 1 year of index visit suspected UTI as measured by total antibiotics prescribed.
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Time frame: within 1 year of index visit
UTI-related ED visit and/or hospitalization within 1 year of index visit
UTI-related ED visit and/or hospitalization within 1 year of index visit
Time frame: within 1 year of index visit