Evidence map›Paper›PMID 37324602›Full record

ReviewPediatric investigation2023

Effective antimicrobial therapies of urinary tract infections among children in low- and middle-income countries: A systematic review.

Rifat Ara, Sarker Mohammad Nasrullah, Zarrin Tasnim, Sadia Afrin, Mohammad Delwer Hossain Hawlader, K M Saif-Ur-Rahman

Open access · goldAbstract readReview
In one paragraph

Review in Pediatric investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 3 institutions in 2 countries.

Rifat AraInfectious Disease Division icddr,b Dhaka Bangladesh.
Sarker Mohammad NasrullahMaternal and Child Health Division icddr,b Dhaka Bangladesh.
Zarrin TasnimPublic Health Professional Development Society (PPDS) Dhaka Bangladesh.
Sadia AfrinHealth System and Population Studies Division icddr,b Dhaka Bangladesh.
Mohammad Delwer Hossain HawladerDepartment of Public Health North South University Dhaka Bangladesh.
K M Saif-Ur-RahmanHealth System and Population Studies Division icddr,b Dhaka Bangladesh.
International Centre for Diarrhoeal Disease Research · BDChild Health Research Foundation · BDNorth South University · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Urinary tract infection (UTI) is one of the most common infections encountered in infancy and childhood. Despite the emerging problem of antibiotic resistance in recent years, the use of antibiotics for better management of UTIs is inevitable. Objective: This study aims to explore the efficacy and adverse effects of the available antimicrobial agents that are used in pediatric UTIs in low- and middle-income countries (LMICs). Methods: Five electronic databases were searched to identify relevant articles. Two reviewers independently performed screening, data extraction, and quality assessment of the available literature. Randomized controlled trials providing antimicrobial interventions in both male and female participants within the age range of 3 months to 17 years in LMICs were included. Results: Six randomized controlled trials from 13 LMICs were included in this review (four trials explored the efficacy). Due to high heterogeneity across the studies, a meta-analysis was not performed. Other than attrition and reporting bias, the risk of bias was moderate to high due to poor study designs. The differences in the efficacy and adverse events of different antimicrobials were not found to be statistically significant. Interpretation: This review indicates the necessity for additional clinical trials on children from LMICs with more significant sample numbers, adequate intervention periods, and study design.

Indexed as

Antimicrobial agentsChildrenEfficacyLMICsUrinary tract infection

Identifiers

PMID37324602
PMCPMC10262900
OpenAlexW4366003702

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.