Evidence map›Paper›PMID 25410372›Full record

ReviewInternational urogynecology journal2015

Recurrent urinary tract infections in women.

Abdullatif Aydin, Kamran Ahmed, Iftikhar Zaman, Muhammad Shamim Khan, Prokar Dasgupta

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04077580 (The Effect of Methenamine Hippurate to Reduce Antibiotic Prescribing Due to New Episodes of Urinary Tract Infections), which is not on this map. Cited by 51 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 4 pooled it
4.9field-weighted citation impact, top 5% 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.

NCT04077580 phase4completednot on this mapstarted 2019, after this paper: background citation

The Effect of Methenamine Hippurate to Reduce Antibiotic Prescribing Due to New Episodes of Urinary Tract Infections (UTI) in Elderly Women With Recurrent UTI - a Triple- Blinded, Randomized Placebo-controlled Phase IV Study

TypeinterventionalSponsorUniversity of OsloRan2019 to 2023Enrolled289ConditionsRecurrent Urinary Tract InfectionArmsMethenamine Hippurate 1000 MG
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 4 syntheses or guidelines pooled it, 154 citations in OpenAlex.

  1. Pooled it
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  10. UropathogenicAntibiotics (Basel, Switzerland) · 2026
    Review
  11. Article
  12. More than an infection: the ecological puzzle of recurrent urinary tract infections.Frontiers in cellular and infection microbiology · 2026
    Review
  13. Article
  14. Article
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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

5 authors at 3 institutions in 1 country.

Abdullatif AydinDepartment of Urology, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, MRC Centre for Transplantation, King's College London, London, UK.
Kamran Ahmed
Iftikhar Zaman
Muhammad Shamim Khan
Prokar Dasgupta
Kings Health Partners · GBGuy's and St Thomas' NHS Foundation Trust · GBKing's College London · GB

Funding

Medical Research Council MR/J006742/1
6 · The paper itself

Abstract

introduction and hypothesisRecurrent urinary tract infections (UTIs) are more common in women and are frequently defined as ≥2 episodes in the last 6 months or ≥3 episodes in the last 12 months. In a primary care setting, 53 % of women above the age of 55 years and 36 % of younger women report a recurrence within 1 year. Thus, management and prevention of recurrent UTI is of utmost significance. This review aims to highlight the latest research in prevention strategies and suggest a management pathway.

methodsA search was conducted on MEDLINE, Embase and the Cochrane Database of Systematic Reviews databases for the latest systematic reviews and high-quality randomized controlled trials. Special emphasis was placed on the remit "recurrent" and strongly adhered to. Furthermore, a Google search was conducted for current guidelines on the management of UTIs.

resultsCurrent prevention strategies include eliminating risk factors that increase the risk of acquiring recurrent UTI and continuous, post-coital and self-initiated antimicrobial prophylaxis. Other prospective preventative strategies, currently under trial, include use of vaccinations, D-mannose and lactobacillus (probiotics).

conclusionAlthough risk factors should be identified and addressed accordingly, individualized antibiotic prophylaxis remains the most effective method of management. Non-antibiotic prevention strategies such as cranberry, vitamin C and methenamine salts lack strong evidence to be introduced as routine management options and as alternatives to antibiotics. Based on current evidence and guidelines, a management pathway is recommended. Emerging therapies require further evaluation before they can be recommended.

Indexed as

Antibiotic ProphylaxisCoitusFemaleHumansLife StyleRecurrenceRisk FactorsUrinalysisUrinary Tract Infections

Identifiers

PMID25410372
OpenAlexW1979460395

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.