UROBIOME study

  • Research type

    Research Study

  • Full title

    The Urinary Microbiome and its Relation to Morbidity in Older People

  • IRAS ID

    218830

  • Contact name

    Claire Steves

  • Contact email

    claire.j.steves@kcl.ac.uk

  • Sponsor organisation

    Kings College London

  • Duration of Study in the UK

    3 years, 0 months, 0 days

  • Research summary

    Urinary symptoms and signs in the elderly are closely associated to frailty, delirium, agitation and distress. However, our understanding of the relationship between all the bugs in our body and our general health and wellbeing is not yet fully understood. Recent small-scale studies have showed that the urine of adults that are well may not be free from different bacteria and microorganism (a living thing that can only be seen with a microscope), as previously thought. These studies showed that the urine of people that are “well” actually contains significant of numbers of bacteria that can either benefits us or themselves, without us or them causing each other any harm. At the same time, doctors seeing these older people often find evidence of bacteria in simple urine tests (dipstick test), although culture results (where we grow and see these bacteria) fail to show evidence of a clear infection. Unfortunately, as these ‘culture results’ take several days to process, the older adult meanwhile receives unnecessary antibiotics intended to kill the bacteria the doctor thinks is present as a result of the dipstick test (gives a result straightaway). This can lead to antibiotic-related diarrhoea, and increase in antibiotic-resistance in the general population.

    This study aims to help us understand; a) the different types of bacteria, especially bacteria in the urine, present in older adults and how they change with age b) understand th effect different groups of these bacteria can have on the overall health and well-being of the person that has these bacteria

  • REC name

    London - Queen Square Research Ethics Committee

  • REC reference

    17/LO/0646

  • Date of REC Opinion

    5 May 2017

  • REC opinion

    Favourable Opinion