Evidence map›Paper›PMID 26233470›Full record

ArticleClinical therapeutics2015

Efficacy of Fluoroquinolone/Probiotic Combination Therapy for Recurrent Urinary Tract Infection in Children: A Retrospective Analysis.

Ramiro J Madden-Fuentes, Mehreen Arshad, Sherry S Ross, Patrick C Seed

Open access · greenAbstract read
In one paragraph

Article in Clinical therapeutics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.2field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. D-Mannose PlusMedicina (Kaunas, Lithuania) · 2023
    Trial
  2. Review
  3. Microorganisms · 2024
    Article
  4. Review
  5. Article
  6. Review
  7. Antimicrobial Pharmacotherapy Management of Urinary Tract Infections in Pediatric Patients.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2018
    Review
  8. Review
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

4 authors at 4 institutions in 1 country.

Ramiro J Madden-FuentesDivision of Urologic Surgery and the Departments of.
Mehreen ArshadPediatrics.
Sherry S RossDepartment of Urology, University of North Carolina, Chapel Hill, North Carolina.
Patrick C SeedDivision of Urologic Surgery and the Departments of; Pediatrics; Molecular Genetics and Microbiology, Duke University Medical Center, Durham, North Carolina. Electronic address: patrick.seed@dm.duke.edu.
Duke University Hospital · USPediatrics and Genetics · USUniversity of North Carolina at Chapel Hill · USUrology Team · US

Funding

Pediatric Scientist Development Program (PSDP) [K12]K12HD000850 · NICHD · YALE UNIVERSITY · PI Sallie R. Permar · 1987 to 2026
$44.1M
Center for Molecular &Cellular Studies of Ped DiseaseK12HD043494 · NICHD · DUKE UNIVERSITY · PI REED, ANN M. · 2003 to 2017
$5.2M
MICROBIAL SUCCESSION AND ADAPTIVE IMMUNE RESPONSES IN THE PREMATURE INFANTR01GM108494 · NIGMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SEED, PATRICK C. · 2014 to 2017
$1.4M
The Recombinase FimX: Role in type 1 pili regulation and E. coli-induced cystitisK08DK074443 · NIDDK · DUKE UNIVERSITY · PI SEED, PATRICK C. · 2006 to 2010
$398k
Novel modulation of E.coli virulence through capsule development and sialic acidR56DK087751 · NIDDK · DUKE UNIVERSITY · PI SEED, PATRICK C. · 2010 to 2010
$191k
NICHD NIH HHS K12 HD000850NICHD NIH HHS K12 HD043494NIDDK NIH HHS K08 DK074443NIDDK NIH HHS L40 DK065547NIDDK NIH HHS R56 DK087751NIGMS NIH HHS 1R01GM108494-01
6 · The paper itself

Abstract

purposeChildren with normal urinary tract anatomy and function and highly recurrent urinary tract infection (rUTI) may have a lack of alternatives when antibiotic prophylaxis and "watchful waiting" approaches fail. This retrospective review reports the outcomes in children who received a fluoroquinolone/probiotic combination in an attempt to quantify a reduction in rUTI that was perceived by both clinicians and patients' families.

methodsData from all children with rUTIs previously managed with a fluoroquinolone/probiotic combination at the Pediatric Infectious Diseases Clinic at Duke University Medical Center (Durham, North Carolina) were identified and analyzed.

findingsData from 10 children were eligible for inclusion. Compared with before therapy initiation, total UTI episodes were significantly fewer after therapy initiation (57 vs 4; P = 0.0001). Seven (70%) were free of rUTIs during the follow-up period. Of the 8 patients with known compliance, 7 (88%) were free of rUTIs. IMPLICATIONS: Given the chronic nature of these patients' symptoms, the significant decrease in UTI after the initiation of therapy, and the increase in the interval without an infection and/or its symptoms, this treatment regimen has the potential to improve overall quality of life, decrease antibiotic courses, and decrease health care costs in children with rUTI. These results will be validated with a larger cohort of patients in a prospective, randomized trial.

Indexed as

AdolescentAnti-Bacterial AgentsChildChild, PreschoolCombined Modality TherapyFemaleFluoroquinolonesHumansMaleProbioticsQuality of LifeRecurrenceRetrospective StudiesSecondary PreventionUrinary Tract InfectionsAnti-Bacterial AgentsFluoroquinoloneschildrenfluoroquinoloneprobioticsrecurrent urinary tract infections

Identifiers

PMID26233470
PMCPMC4915914
OpenAlexW1948330424

What OpenQuestion holds

Textmetadata
LicenceTDM
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.