Evidence map›Paper›PMID 29653573›Full record

SynthesisBMC pregnancy and childbirth2018

A systematic review of non-antibiotic measures for the prevention of urinary tract infections in pregnancy.

Flavia Ghouri, Amelia Hollywood, Kath Ryan

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04832581 (Effectiveness Of The Self-Care Behavior Development Program For Urinary Tract Infections in Pregnant, Women), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.8field-weighted citation impact, top 10% 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.

NCT04832581 nacompletednot on this mapstarted 2020, after this paper: background citation

Effectiveness Of The Self-Care Behavior Development Program For Urinary Tract Infections in Pregnant, Women

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2020 to 2020Enrolled67ConditionsUrinary Tract Infection During PregnancyArmsThe Self-Care Behavior Development Program
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Prenatal and Perinatal Antibiotic Exposure and Long-Term Outcome.Pediatric gastroenterology, hepatology & nutrition · 2023
    Review
  9. Review
  10. Review
  11. The immune responses to differentFrontiers in immunology · 2022
    Review
  12. Review
  13. Article
  14. 'There is no choice apart from antibiotics…': Qualitative analysis of views on urinary infections in pregnancy and antimicrobial resistance.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  15. Review
  16. 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

3 authors at 1 institution in 1 country.

Flavia GhouriSchool of Pharmacy, University of Reading, PO Box 226, Whiteknights, Reading, RG6 6AP, UK.
Amelia HollywoodSchool of Pharmacy, University of Reading, PO Box 226, Whiteknights, Reading, RG6 6AP, UK. a.hollywood@reading.ac.uk.ORCID 0000-0001-9670-2506
Kath RyanSchool of Pharmacy, University of Reading, PO Box 226, Whiteknights, Reading, RG6 6AP, UK.
University of Reading · GB

Funding

University of Reading PhD studentship for F.G.
6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) are common in pregnancy and account for the highest proportion of primary care antibiotic prescriptions issued to pregnant women in the UK. It is well known that antibiotic use is associated with increased antimicrobial resistance and therefore measures to minimise antibiotic use for UTI prevention have been studied. The efficacy and safety of these measures in pregnancy have not been addressed and therefore the aim of this study was to systematically review the literature to identify and evaluate potential measures to prevent UTIs in pregnant women.

methodsTen databases (EMBASE, AMED, BNI, CINAHL, Medline, PubMed, PsycINFO, Cochrane Trials, Scopus and Science Direct) were systematically searched in July 2017 for studies reporting non-antibiotic measures to prevent UTIs in pregnancy. The terms ("urinary tract infection" or UTI or bacteriuria or cystitis) AND (prevention) AND (pregnan*) were used. The quality of the publications was appraised using the Critical Appraisal Skills Programme (CASP) checklists for cohort study, case-control study and randomised controlled trial. The results were synthesised using a textual narrative approach.

resultsSearch results yielded 3276 publications and after reviewing titles and removing duplicates, 57 full text articles were assessed for eligibility and eight were included in the review. Five different approaches (hygiene measures, cranberry juice, immunisation, ascorbic acid and Canephron® N) have been identified, all of which are reported to be safe in pregnancy.

conclusionThe quality of the evidence varied considerably and only hygiene measures were supported by evidence to be recommended in practice. Future work needs to concentrate on strengthening the evidence base through improved design and reporting of studies with a focus on immunisation, ascorbic acid and Canephron® N.

Indexed as

Ascorbic AcidDietary SupplementsFemaleFruit and Vegetable JuicesHumansHygieneImmunizationPhytotherapyPlant ExtractsPregnancyPregnancy Complications, InfectiousPrenatal CareUrinary Tract InfectionsVaccinium macrocarponAscorbic Acidcanephron NPlant ExtractsAntimicrobial resistanceBehaviour changeNon-antibiotic measuresPregnancyPreventionSystematic reviewUrinary tract infection

Identifiers

PMID29653573
PMCPMC5899369
OpenAlexW2801164386

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.