Biomarkers for UTI

  • Research type

    Research Study

  • Full title

    Identification of urinary biomarkers to direct management of urinary tract infection for elderly people with bacteriuria

  • IRAS ID

    121656

  • Contact name

    Lauren Drage

  • Contact email

    lauren.drage@ncl.ac.uk

  • Sponsor organisation

    R&D Officer

  • Research summary

    It is very common to find bacteria in the urine of older people whether or not the person has symptoms of an active urinary tract infection (UTI). This makes it difficult for doctors to decide whether to treat the bacteria with antibiotics. Getting this decision right is important because the bacterium that most often causes UTI, Escherichia coli (E. coli), is increasingly resistant to antibiotics. We want to find out if there are any substances in the urine of people whose bladder is colonised with bacteria that might predict when these bacteria change from being in a harmless state (asymptomatic bacteriuria) to causing an active infection. If we can find any such substances then they can be studied further in future research to develop a simple urine test that can be used in people’s homes.

    For this preliminary research we need to collect regular urine samples from at least 30 older people who frequently have bacteria in their urine. We aim to collect urine samples every two weeks for six months. We will identify and test the activity of any bacteria in the urine and also measure the levels of substances that the cells lining the bladder wall make to defend against infection.

    We will then compare these levels with the patient’s symptoms to see if we can find a measurement that corresponds to the ‘tipping point’ between harmless colonization and active infection.

  • REC name

    North East - Newcastle & North Tyneside 1 Research Ethics Committee

  • REC reference

    14/NE/0026

  • Date of REC Opinion

    12 Mar 2014

  • REC opinion

    Further Information Favourable Opinion