Evidence map›Paper›PMID 25516016›Full record

Trial reportBMC infectious diseases2014

Ibuprofen versus mecillinam for uncomplicated cystitis--a randomized controlled trial study protocol.

Ingvild Vik, Marianne Bollestad, Nils Grude, Anders Bærheim, Sigvard Mölstad, Lars Bjerrum, Morten Lindbæk

Registry-linked trialOpen access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01849926 (Ibuprofen Versus Mecillinam for Uncomplicated Cystitis in Adult, Non-pregnant Women), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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.

NCT01849926 phase4completednot on this map

Ibuprofen Versus Mecillinam for Uncomplicated Cystitis in Adult, Non-pregnant Women

TypeinterventionalSponsorUniversity of OsloRan2013 to 2016Enrolled383ConditionsAcute Cystitis (Excl in Pregnancy)ArmsIbuprofen, Mecillinam
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Acute uncomplicated cystitis: is antibiotic unavoidable?Therapeutic advances in urology · 2018
    Article
  9. Article
  10. Article
  11. Community-Acquired Urinary Tract Infection byBioMed research international · 2018
    Review
  12. Review
  13. 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

7 authors at 4 institutions in 3 countries.

Ingvild VikAntibiotic Centre of Primary Care, Department of General Practice, Institute of Health and Society, University of Oslo, Pb 1130, Blindern, 0318, Oslo, Norway. ingvild.vik@medisin.uio.no.
Marianne BollestadAntibiotic Centre of Primary Care, Department of General Practice, Institute of Health and Society, University of Oslo, Pb 1130, Blindern, 0318, Oslo, Norway. marianne.bollestad@medisin.uio.no.
Nils GrudeAntibiotic Centre of Primary Care, Department of General Practice, Institute of Health and Society, University of Oslo, Pb 1130, Blindern, 0318, Oslo, Norway. nigrud@siv.no.
Anders BærheimDepartment of Global Public Health and Primary Care, University of Bergen, Pb 7804, 5018, Bergen, Norway. Anders.Barheim@igs.uib.no.
Sigvard MölstadDepartment of Clinical Sciences, Malmoe, General Practice, University of Lund, box 117, 221 00, Lund, Sweden. sigvard.molstad@med.lu.se.
Lars BjerrumDepartment of Public Health, University of Copenhagen, Pb 2099, 1014, Copenhagen, Denmark. lbjerrum@sund.ku.dk.
Morten LindbækAntibiotic Centre of Primary Care, Department of General Practice, Institute of Health and Society, University of Oslo, Pb 1130, Blindern, 0318, Oslo, Norway. morten.lindbak@medisin.uio.no.
University of Oslo · NOLund University · SEUniversity of Bergen · NOUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough uncomplicated cystitis is often self-limiting, most such patients will be prescribed antibiotic treatment. We are investigating whether treatment of cystitis with an NSAID is as effective as an antibiotic in achieving symptomatic resolution. METHODS/

designThis is a randomized, controlled, double blind trial following the principles of Good Clinical Practice. Women between the ages of 18 to 60 presenting with symptoms of uncomplicated cystitis are screened for eligibility. 500 women from four sites in Norway, Sweden and Denmark are allocated to treatment with 600 mg ibuprofen three times a day or 200 mg mecillinam three times a day for three days. Allocation is conducted using block randomization. The primary outcome is the number of patients who feel cured by day four as recorded in a diary. Adverse events will be handled and reported in accordance with Good Clinical Practice. DISCUSSION: If treatment of uncomplicated cystitis with ibuprofen is as effective as mecillinam for symptom relief, we can potentially reduce the use of antibiotics on a global scale.

trial registrationEudraCTnr: 2012-002776-14. ClinicalTrials.gov: NCT01849926.

Indexed as

AdolescentAdultAmdinocillinAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-SteroidalClinical ProtocolsCystitisDouble-Blind MethodDrug Administration ScheduleFemaleHumansIbuprofenMiddle AgedTreatment OutcomeYoung AdultAmdinocillinAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-SteroidalIbuprofen

Identifiers

PMID25516016
PMCPMC4273435
OpenAlexW2040960469

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.