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De-implementing PreOp Urine Testing in VA Medical Centers

This study is looking at ways to reduce unnecessary urine testing before surgery in Veterans Affairs Medical Centers (VAMCs). It's testing an intervention called 'Kicking CAUTI' which includes things like meetings, site visits, teaching sessions, and pocket cards with guidelines. The goal is to see if this intervention can decrease the number of urine tests performed and reduce inappropriate antibiotic use. The study will involve six VAMCs that perform certain types of surgeries and currently do a lot of pre-surgery urine testing. We want to find out how well this intervention works and how easy it is to put into practice.

Study design
This is a randomized study involving six Veterans Affairs Medical Centers. It will unfold in three phases: control, intervention, and sustainability.
What's involved
The intervention involves activities like 1:1 meetings, a site visit, interactive teaching, and access to project materials.
Compensation
Not stated in the trial record.
Follow-up
The number of urine tests performed will be measured for up to 48 months.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07411209

De-implementing PreOp Urine Testing

Not Yet Recruiting
NAAges 18+InterventionalHealth services
VA Office of Research and Development
~6 participants
Updated 2026-02-13 on ClinicalTrials.gov
What's tested:Interventional Project Site Visit

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Number of Urine Testing Performed
Measured over up to 48 months

Conditions

Urinary Tract Infection
Asymptomatic Bacteriuria

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Asymptomatic bacteriuriaUrinary Tract Infection

Where it's being run

1 sites across 1 states
Wisconsin1

Study leadership

  • Marin L. Schweizer-Looby, PhD BS · PRINCIPAL_INVESTIGATOR · William S. Middleton Memorial Veterans Hospital, Madison, WI

Who to contact

Marin L Schweizer-Looby, PhD BS
[email protected]
(608) 256-1901
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Eligibility criteria

Inclusion

Medical Centers part of the Veterans Affairs Health Administration (VAMCs)
VAMCs that perform standard, intermediate, or advanced surgical procedures
VAMCs in which perioperative urine testing is performed among greater than 10% of their non-urologic, non-transplant surgery procedures

Exclusion

VAMCs that only perform ambulatory surgery (outpatient/day surgery only)
VAMCs that do not perform urine testing among at least 10% of their non-urologic, non-transplant surgery procedures
VAMCs that already have implemented interventions to reduce perioperative urine testing
VAMCs' units performing genitourinary or transplant surgeries
Database of patients with a diagnosis of urinary tract infection within 30 days before surgery

What this trial measures

  • Number of Urine Testing Performedup to 48 months

    Throughout the study period, the research team will generate monthly lists of all urinalyses and urine cultures performed within 30 days before and 30 days after included procedures. The study team will chart review theses cases and determine whether the urine test was done on an asymptomatic patient or whether the test was justified based on UTI symptoms.