Evidence map›Paper›PMID 34499326›Full record

ArticleInternational urology and nephrology2021

Efficacy of vaccination with StroVac for recurrent urinary tract infections in women: a comparative single-centre study.

Sebastian Nestler, Britta Grüne, Lydia Schilchegger, Adriana Suna, Anita Perez, Andreas Neisius

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. UropathogenicAntibiotics (Basel, Switzerland) · 2026
    Review
  3. [Use of vaccines to prevent the development of bacterial resistance].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
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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 3 institutions in 1 country.

Sebastian NestlerUroGate, Urological Practice, Bad Vilbel, Germany. sebastian-nestler@web.de.
Britta GrüneDepartment of Urology, University Medical Center, Mannheim, Germany.
Lydia SchilcheggerDepartment of Urology, Hochtaunus Hospital, Bad Homburg, Germany.
Adriana SunaUroGate, Urological Practice, Bad Vilbel, Germany.
Anita PerezUroGate, Urological Practice, Bad Vilbel, Germany.
Andreas NeisiusDepartment of Urology, Brüderkrankenhaus Trier, Trier, Germany.
Accadis Hochschule Bad Homburg · DEHeidelberg University · DEKrankenhaus der Barmherzigen Brüder Trier · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the efficacy of prophylaxis for urinary tract infections (UTI) in a two-year follow-up in women with StroVac compared to a therapy with Nitrofurantoin over three months. MATERIALS AND

methodsAll patients with documented recurrent urinary tract infections (rUTI) were offered vaccination with StroVac or therapy with three months Nitrofurantoin 100 mg once daily for three months at patient's choice. Only patients with a follow-up of at least 24 months were included. All episodes with signs of UTI were documented and urine culture was performed. Success was defined as one or none UTI per 12 months, documented by urine culture. StroVac booster injection was offered 12 months after primary vaccination at patient's choice.

results173 patients were included in this study, 124 in the StroVac group, 49 chose Nitrofuratoin. In the first 12 months, 86.8% of patients in the StroVac group and 91.8% in Nitrofurantoin group were successful (p = 0.22). Side effects were noted in 2.3% in the StroVac group causing discontinuation of therapy, whereas in the Nitrofurantoin group 18.4% stopped medication premature, mostly due to mild diarrhoea. In the second year 79.3% of patients in the StroVac group were still successful, most of them had undergone booster injection. In contrast, in the Nitrofurantoin group only 59.2% of patients were still successful (p = 0.03).

conclusionStroVac is an effective and lasting non-antibiotic prophylaxis for rUTI, easy to administer with low rates of adverse events and should be offered to patients with rUTI.

Indexed as

AdultAgedAnti-Infective Agents, UrinaryBacterial VaccinesFemaleHumansMiddle AgedNitrofurantoinRecurrenceUrinary Tract InfectionsAnti-Infective Agents, UrinaryBacterial VaccinesNitrofurantoinStroVacNon-antibiotic prophylaxisRecurrent urinary tract infections (rUTI)Urinary tract infection (UTI)Vaccination

Identifiers

PMID34499326
OpenAlexW3197187358

What OpenQuestion holds

Textmetadata
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.