Testing a Bilingual Video and Flyer to Improve Urine Collection and Reduce Unnecessary Antibiotic Use for Urinary Tract Infections in Primary Care

What this Trial Is About

Urinary tract infections UTIs are a common reason for outpatient visits and antibiotic prescriptions in the United States. This research evaluates a bilingual educational intervention designed to reduce contamination of urine cultures and inappropriate antibiotic use in adult patients visiting safety-net primary care clinics. The study aims to improve diagnostic accuracy and support antimicrobial stewardship by providing clear and culturally appropriate instructions for urine collection. The intervention includes a short animated video and a pictorial flyer, both available in English and Spanish, which explain the proper midstream clean-catch urine MSCC collection technique. Participants are randomly assigned to either receive this educational tool before urine collection or to receive usual care without additional education. Men and women receive materials tailored to their needs. The trial compares contamination rates of urine cultures, antibiotic use, and contaminated urinalyses between the two groups. Participants are adults aged 18 or older who are asked to provide a urine sample during routine outpatient care. They will watch the educational video and view the flyer in the exam room before providing their sample if assigned to the intervention group. Researchers will collect data from medical records, patient surveys, and interviews to measure urine culture contamination within 48 hours, antibiotic prescriptions within seven days, and patient satisfaction. The study also assesses the acceptability and feasibility of the educational materials. Total participation includes the urine collection visit and follow-up assessments.

Diagnostic Stewardship Intervention to Reduce Inappropriate Antibiotic Use for Urinary Tract Infections in Primary Care