Evidence map›Paper›PMID 31146773›Full record

SynthesisBMC urology2019

The etiology and prevalence of urinary tract infection and asymptomatic bacteriuria in pregnant women in Iran: a systematic review and Meta-analysis.

Milad Azami, Zahra Jaafari, Mansour Masoumi, Masoumeh Shohani, Gholamreza Badfar, Leily Mahmudi, Shamsi Abbasalizadeh

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC urology, 2019. 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 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 96 citations in OpenAlex.

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  17. [Prevalence and risk factors of urinary tract infection in pregnant women].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Observational
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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

7 authors at 5 institutions in 1 country.

Milad AzamiFaculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran.
Zahra JaafariHIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Mansour MasoumiDepartment of Urology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran.
Masoumeh ShohaniDepartment of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Gholamreza BadfarDepartment of Pediatrics, Behbahan Faculty of Medical Sciences, Behbahan, Iran.
Leily MahmudiFaculty of Medicine, Dezful University of Medical Sciences, Dezful, Iran.
Shamsi AbbasalizadehDepartment of Obstetrics & Gynecology, Women's Reproductive Health Research Center, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. shamciabbasalizadeh@gmail.com.
Tabriz University of Medical Sciences · IRDezful University of Medical Sciences · IRIlam University · IRKerman University of Medical Sciences · IRMedical University of Ilam · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infection (UTI) is a common clinical problem in pregnant women. Bacteriuria in pregnancy without antibiotic treatment could result in complications. This study aims to investigate the etiology and prevalence of UTI and asymptomatic bacteriuria (ASB) in pregnant women in Iran.

methodThis meta-analysis follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. To avoid bias, all steps of the study were carried out independently by two researchers. We conducted a comprehensive search on all the related literature in national databases, including IranDoc, SID, Barakat Knowledge Network System, RICST, Magiran, Iranian National Library and international databases, including Scopus, Embase, Science Direct, PubMed/ Medline, Cochrane Library, Web of Sciences, EBSCO, as well as Google Scholar search engine until June 2018. After considering the inclusion/exclusion criteria and qualitative evaluation, studies were analyzed based on random effects model using Comprehensive Meta-Analysis Software Version 2.

resultsIn 31 studies with a sample size of 20,309, the prevalence of ASB in pregnant Iranian women was estimated to be 8.7% (95%CI: 7.2-10.4). The lowest and highest prevalence of ASB were observed in the third trimester (6.1% [95%CI: 2.1-16.4]) and first trimester (11.7% [95%CI: 7.9-16.9]), respectively. Subgroup analysis of the prevalence of ASB based on geographical region (P = 0.002) and province (P <  0.001) was significant but for the quality of studies (P = 0.51) was not significant. In 17 studies including 48,731 pregnant women, the prevalence of UTI was estimated to be 9.8% (95%CI: 7.6-12.5). The test for subgroup differences of prevalence of UTI for province (P <  0.001) was significant but for geographical region (P = 061) and quality of studies (P = 0.11) was not significant. Meta-regression model for the prevalence of UTI and ASB in pregnant women in Iran based on year of the studies was significant (P <  0.001). The most common microorganism involved in the etiology of UTI (61.6% [95%CI: 51.6-70.7]) and ASB (63.22% [95%CI: 51.2-73.8]) was E. coli.

conclusionUTI and ASB are prevalent in pregnant women in Iran. Therefore, UTI screening is essential in pregnant women. The most common microorganism involved in the etiology of UTI and ASB in pregnant women in Iran is E.coli.

Indexed as

BacteriuriaFemaleHumansIranPregnancyPregnancy Complications, InfectiousPrevalenceUrinary Tract InfectionsAsymptomatic bacteriuriaEtiologyIranPregnant womenUrinary tract infection

Identifiers

PMID31146773
PMCPMC6543660
OpenAlexW2946949473

What OpenQuestion holds

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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.