Every year, between 4 and 6 million French people are affected by a urinary infection; the vast majority of these are women. Although the diagnosis of an uncomplicated urinary tract infection is simple to make, it requires prompt medical management to relieve the symptoms. The lack of immediate of a physician can slow down the management of patients affected by this condition, and lead to an inappropriate referral of patients to the emergency services. Because of their wide availability, accessibility, and geographical distribution throughout the country, pharmacists are primary health care professionals who are regularly called upon to respond to patients with this type of infection. A national protocol exists in France, but it is very difficult to apply. The PharmaCyst' study aims to evaluate its application in community pharmacies.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
145
When a patient comes to the pharmacy with signs of urinary burning, the following will follow: * Completion of the acute cystitis symptoms score (ACSS) questionnaire. * Measure the temperature. * Perform a urine dipstick. If the patient's temperature is normal, the urine dipstick is positive, and the absence of pain in the lumbar fossa is verified, the pharmacist can dispense an appropriate antibiotic himself. A reminder of the hygienic-dietary rules is also issued, and a communication to the patient's general practitioner will be made.
Pharmacie du Pays De Retz
Bourgneuf-en-Retz, France
Pharmacie de Brûlon
Brûlon, France
Pharmacie Degueille
Chemazé, France
Pharmacie Nicolleau-Dilé
Chemillé-Melay, France
Pharmacie des Halles
Craon, France
Pharmacie de la Place
La Ferté-Bernard, France
Pharmacie de la Pointe
Le Mans, France
Pharmacie du Centre
Le May-sur-Èvre, France
Pharmacie du Louet
Mûrs-Erigné, France
Pharmacie des Arcades
Nozay, France
...and 4 more locations
The evolution of the symptoms at D3
Difference in the score from the first part of the Acute Cystitis Symptome Score questionnaire. The minimum value is 0 and the maximun value is 18. A higher score mean worse outcome
Time frame: Enrollment, Day 3
The evolution of the symptoms at D10
Difference in the score from the first part of the Acute Cystitis Symptome Score questionnaire. The minimum value is 0 and the maximun value is 18. A higher score mean worse outcome
Time frame: Enrollment, Day 10
Use of a medical consultation or an emergency service
Number of consultations provided
Time frame: At 3 days
Use of a medical consultation or an emergency service
Nature of consultations provided
Time frame: At 10 days
Performing a urine dipstick
Number of urine dipstick performed
Time frame: Enrollment, Day 3, Day 10
Performing a urine culture
Number of urine culture performed
Time frame: At 3 days and 10 days
Taking medication to relieve the symptoms of the infection
Number of medication used
Time frame: Enrollment,
Taking medication to relieve the symptoms of the infection
Nature of medication used
Time frame: Day 3,
Taking medication to relieve the symptoms of the infection
Nature of medication used
Time frame: Day 10
Occurrence of an adverse event at D3 and D10
Number of adverse events
Time frame: At 10 days
Occurrence of an adverse event at D3 and D10
Nature of adverse events
Time frame: At 3 days
Recurrence of a urinary tract infection within 3 months (M3)
Number of cystitis encountered
Time frame: At 3 months
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