Evidence map›Paper›PMID 22892110›Full record

Trial reportBMC pregnancy and childbirth2012

Costs and effects of screening and treating low risk women with a singleton pregnancy for asymptomatic bacteriuria, the ASB study.

Brenda M Kazemier, Caroline Schneeberger, Esteriek De Miranda, Aleid Van Wassenaer, Patrick M Bossuyt, Tatjana E Vogelvang, Frans J L Reijnders, Friso M C Delemarre, Corine J M Verhoeven, Martijn A Oudijk and 7 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Antibiotics for asymptomatic bacteriuria in pregnancy.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Screening with urinary dipsticks for reducing morbidity and mortality.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Approach to a positive urine culture in a patient without urinary symptoms.Infectious disease clinics of North America · 2014
    Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 11 institutions in 1 country.

Brenda M KazemierDepartment of Obstetrics and Gynaecology, Academic Medical Centre, Amsterdam, the Netherlands. b.m.kazemier@amc.uva.nl
Caroline Schneeberger
Esteriek De Miranda
Aleid Van Wassenaer
Patrick M Bossuyt
Tatjana E Vogelvang
Frans J L Reijnders
Friso M C Delemarre
Corine J M Verhoeven
Martijn A Oudijk
Jeanine A Van Der Ven
Petra N Kuiper
Nicolette Feiertag
Alewijn Ott
Christianne J M De Groot
Ben Willem J Mol
Suzanne E Geerlings
Academic Medical Center · NLAmsterdam UMC Location VUmc · NLDiakonessenhuis hospital · NLElkerliek Ziekenhuis · NLEmma Kinderziekenhuis · NLEspérance · NLMáxima Medisch Centrum · NLNetherlands Center for Occupational Diseases · NLSlingeland Ziekenhuis · NLUniversity Medical Center Utrecht · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of asymptomatic bacteriuria (ASB) in pregnancy is 2-10% and is associated with both maternal and neonatal adverse outcomes as pyelonephritis and preterm delivery. Antibiotic treatment is reported to decrease these adverse outcomes although the existing evidence is of poor quality. METHODS/

designWe plan a combined screen and treat study in women with a singleton pregnancy. We will screen women between 16 and 22 weeks of gestation for ASB using the urine dipslide technique. The dipslide is considered positive when colony concentration ≥105 colony forming units (CFU)/mL of a single microorganism or two different colonies but one ≥105 CFU/mL is found, or when Group B Streptococcus bacteriuria is found in any colony concentration. Women with a positive dipslide will be randomly allocated to receive nitrofurantoin or placebo 100 mg twice a day for 5 consecutive days (double blind). Primary outcomes of this trial are maternal pyelonephritis and/or preterm delivery before 34 weeks. Secondary outcomes are neonatal and maternal morbidity, neonatal weight, time to delivery, preterm delivery rate before 32 and 37 weeks, days of admission in neonatal intensive care unit, maternal admission days and costs. DISCUSSION: This trial will provide evidence for the benefit and cost-effectiveness of dipslide screening for ASB among low risk women at 16-22 weeks of pregnancy and subsequent nitrofurantoin treatment.

trial registrationDutch trial registry: NTR-3068.

Indexed as

AdultAnti-Infective Agents, UrinaryBacteriuriaColony Count, MicrobialCost-Benefit AnalysisCost of IllnessFemaleHumansMass ScreeningNitrofurantoinPregnancyPregnancy Complications, InfectiousPyelonephritisResearch DesignAnti-Infective Agents, UrinaryNitrofurantoin

Identifiers

PMID22892110
PMCPMC3433391
OpenAlexW2101519702

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.