Computer-Assisted Treatment of Urinary Tract Infection in Emergency Departments and Community Health Centers

Status:	Archived
Conditions:	Other Indications, Hospital, Urology, Urinary Tract Infections
Therapuetic Areas:	Nephrology / Urology, Other
Healthy:	No
Age Range:	Any
Updated:	7/1/2011
Start Date:	August 2008
End Date:	October 2010

Computer-Assisted Treatment in the Management of Adult Female Patients With Symptoms of Urinary Tract Infection in Emergency Departments and Community Health Centers: A Randomized Trial

Our study aims to test the utility of computer-assisted treatment for uncomplicated,
recurrent urinary tract infections (UTIs) for women receiving care in safety net health care
facilities. As of November 2009, we are also testing the utility of computer-assisted
treatment for certain types of complicated cystitis (i.e. women with voiding symptoms and
one of the following complicating symptoms: fever, flank pain, or symptoms greater than 7
days).

An English version of the UTI Kiosk module was validated at UCSF urgent care clinic in 2005,
and has been successfully integrated into the clinical work flow at this clinic for over 2
years. The computer-based module is housed in a freestanding kiosk with a touch-screen
monitor and audio handset to allow patients with low literacy and minimum computer skills to
complete the module. A printer in the kiosk provides a summary of the patient's responses
to each question in the module, as well as a prescription for the clinic physician to sign
and return to the patient.

It's important to emphasize that the computer only "fast-tracks" women who will be treated
with antibiotics. All other women see the provider as usual. Also, all women who are
eligible for computer treatment may opt to see a provider instead.

We found this trial at

sites

University of California at San Francisco (UCSF)

500 Parnassus Ave
San Francisco, California 94143

(415) 476-9000