Safety and Efficacy of a Weekly Oral Cyclic Antibiotic Programme in the Prevention of Urinary Tract Infection on Neurological Bladder
Safety and Efficacy of a Weekly Oral Cyclic Antibiotic Programme in the Prevention of Urinary Tract Infection on Neurological Bladder
Symptomatic urinary tract infections (UTIs) are one of the main causes of morbidity and the
 main cause of re-hospitalization in subjects with neurogenic bladder. Long-term antibiotic
 therapy increases the risk of multi-resistant bacterial infections, without reducing the rate
 of symptomatic UTIs. Our non-comparative preliminary study has shown that Weekly Oral Cyclic
 Antibiotic Programme (single, weekly dose of antibiotic X on even weeks, and antibiotic Y on
 odd weeks) seem to drastically reduce both the number of symptomatic UTIs and the number of
 hospitalizations in patients with neurogenic bladder, without affecting bacterial ecology.

 The objective of this study is to validate this preliminary work with a large-scale
 randomized, parallel-group, multicenter study.
Inclusion Criteria:

 -  subject over 18 years of age

 -  having a neurogenic bladder with automatic catheter and pharmacologic disconnection of
 the detrusor muscle

 -  having at least 4 symptomatic UTIs per year with bacterial sensitivity to the chosen
 antibiotics

 -  having given full consent to participate in the study

 -  being the recipient of social security benefits

 Exclusion Criteria:

 -  known allergy or hypersensitivity to useful antibiotics (to which the bacterium or
 bacteria are sensitive) or to one of their components

 -  other contraindication in the administering of useful antibiotics

 -  urinary volume flow >500 ml during automatic catheter

 -  different urinary drainage method than automatic catheter

 -  occurrence of stones in the urinary tract

 -  infection due to endo urinary material (urinary prosthesis, ureteral stent)

 -  creatinine clearance <60 ml/min

 -  patient under guardianship

 -  women who are pregnant, nursing, or who may become pregnant