Evidence map›Paper›PMID 34001538›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2021

Use of methenamine hippurate to prevent urinary tract infections in community adult women: a systematic review and meta-analysis.

Mina Bakhit, Natalia Krzyzaniak, Joanne Hilder, Justin Clark, Anna Mae Scott, Chris Del Mar

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
3.8field-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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Mina BakhitInstitute for Evidence-Based Healthcare, Bond University, Robina, Australia.
Natalia KrzyzaniakInstitute for Evidence-Based Healthcare, Bond University, Robina, Australia.
Joanne HilderAllied Health Services, Gold Coast Hospital and Health Services, Robina, Australia.
Justin ClarkInstitute for Evidence-Based Healthcare, Bond University, Robina, Australia.
Anna Mae ScottInstitute for Evidence-Based Healthcare, Bond University, Robina, Australia.
Chris Del MarInstitute for Evidence-Based Healthcare, Bond University, Robina, Australia.
Bond University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) are often treated with antibiotics and are a source of antibiotic overuse.

aimTo systematically review randomised controlled trials (RCTs) of adult women in the community with a history of recurrent UTIs and who use methenamine hippurate prophylactically. DESIGN AND

settingSystematic review of women in the UK, Australia, Norway, and US (aged ≥18 years) with recurrent UTIs receiving methenamine hippurate against placebo or no treatment, and antibiotics.

methodThe authors searched three databases, clinical trial registries, and performed forward-backward citation analysis on references of included studies.

resultsSix studies involving 557 participants were included (447 were analysed). Of the six studies, five were published and one was an unpublished trial record with results, three compared methenamine hippurate against placebo or control, and three compared methenamine hippurate with antibiotics. For the number of patients who remained asymptomatic, methenamine hippurate showed a non-statistically significant trend of benefit versus antibiotics over 12 months (risk ratio [RR] 0.65, 95% confidence interval [CI] = 0.40 to 1.07,

conclusionThere is insufficient evidence to be certain of the benefits of methenamine hippurate to prevent UTI. Further research is needed to test the drug's effectiveness in preventing UTIs and as an alternative for antibiotic treatment for UTI.

Indexed as

Pharmaceutical PreparationsUrinary Tract InfectionsAdolescentAdultAnti-Bacterial AgentsFemaleHippuratesHumansMethenamineAnti-Bacterial AgentsHippuratesMethenaminemethenamine hippuratePharmaceutical Preparationsantibioticsmethenamine hippurateprimary caresystematic reviewurinary tract infections

Identifiers

PMID34001538
PMCPMC8136580
OpenAlexW3125224640

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.