Endpoint | Definition | Time frame |
---|---|---|
Clinical cure | Alive with reduction of all initial local and systemic FUTI related symptoms and without additional systemic antibiotic therapy for UTI (except antibiotic prophylaxis) | 6–10 days post-end of-treatment (PET) + 30–35 days PET |
Microbiological cure | Negative urine culture for E.coli (< 103 CFU/ml), phenotypically identifiable to the initial culture (assessment by microbiologist) a | 6–10 days PET |
Acquired resistance | Resistance to ciprofloxacin, fosfomycin or new ESBL-producing bacteria in phenotypically identical strain | 6–10 days PET |
Mortality | -Mortality for any reason | Within 30–35 days PET |
-Mortality related to UTI or study medicines | ||
ICU admission | -ICU admission for any reason | Within 30–35 days PET |
-ICU admission related to UTI or study medicines | ||
Readmission | -Readmission for any reason | Within 30–35 days PET |
-Readmission related to UTI or study medicines | ||
Relapse | Development of new symptoms of UTI after previous clinical and microbiological cure with a phenotypically identical strain as isolated during the initial blood or urine (≥103) cultures. | Within 30–35 days PET |
Reinfection | Same definition as relapse, but with phenotypically different strains isolated in cultures (urine, ≥103) | Within 30–35 days PET |
Additional antibiotic use | Additional systemic antibiotic therapy for UTI (except antibiotic prophylaxis) | Within 30–35 days PET |
Length of hospital stay | -Total days of hospital stay | Within 30–35 days PET |
-Total days of ICU stay | ||
Days of absenteeism | Converted to full work days: | Within 30–35 PET |
-Paid work | ||
-Voluntary work | ||
Adverse events | Possible or probable related to study protocol | Within 30–35 days PET |
Early study medicine discontinuation | Early study medicine discontinuation: | – |
-because of intolerance/adverse events | ||
-because of clinical failure | ||
-because of resolution of symptoms |