Characteristics of the trials comparing short with standard duration antibiotic therapy in UTI
First author, Year, Country, Source | Patients entered | Patients evaluated | Inclusion criteria | Antibiotics used | Outcomes | Length of study |
---|---|---|---|---|---|---|
*Mid stream urine or clean catch urine collection. †Suprapubic bladder aspiration urine collection. ‡Strap-on bag urine collection. §Trimethoprim/sulphamethoxazole. ¶Third group of study by Copenhagen Study Group not included in results. | ||||||
OPD, outpatient department; ED, emergency department. | ||||||
Wientzen,26 1979, USA, OPD | 57 | 52 | Symptomatic UTI. Children with ≥3 UTI in previous year excluded. Age 0.25–16 y. MSU*, SPA†, bag‡ samples. | Amoxycillin 4 days versus 10 days | UTI any time after treatment | 12 months |
Lohr,25 1981, USA, OPD | 55 | 49 | Girls with symptomatic UTI. Age 2–18 y. MSU samples. | Nitrofurantoin 3 days versus 10 days | UTI 0–7 days after treatment | 6 months |
UTI during next 6 months | ||||||
Helin,24 1981, Sweden, OPD | 43 | 43 | Symptomatic UTI. Age 0.25–16 y. Bag, MSU samples. | Trimethoprim/sulphadiazine 4 days versus 10 days | UTI at end of treatment | 12 months |
UTI during next 12 months | ||||||
Zaki,23 1986, Kuwait, Not stated | 55 | (a) 26 | Symptomatic UTI. Children with UTI in previous 6 months excluded. Age 0.5–13 y. Collection method not stated. | (a) Nalidixic acid 3 days versus 10 days | UTI 2–3 days after treatment | 3 months |
(b) 29 | (b) TMP/SMX§ 3 days versus 10 days | UTI at 1–3 months | ||||
Madrigal,22 1988, Costa Rica, OPD | 104 | 90 | Symptomatic UTI. Children with recurrent UTI excluded. | TMP/SMX 3 days versus 7 days | UTI 10–12 days after therapy | 44 days |
Age 0.25–12 y. MSU, SPA, catheter urine samples. | UTI at 28–37 days | |||||
CSG,21 1991, Denmark, OPD | 333 | (a) 96 | Girls with symptomatic & asymptomatic UTI. Age 1–15 y. MSU samples. | (a) Sulphamethizole 3 days | UTI 1–10 days after treatment | 80 days |
(b) 78 | (b) Sulphamethizole 10 days | UTI at 1 month or more | ||||
(c) 90¶ | (c) Pivmecillinam 3 days | Resistant organisms | ||||
Jojart,20 1991, Hungary, Not stated | 132 | (a) 43 | Symptomatic & asymptomatic UTI. Children with UTI >3 months earlier could be re-entered to other therapy. | (a) Nitrofurantoin 3 days versus 14 days | UTI at 28–36 days after treatment | 36 days |
(b) 44 | Age 1.5–9 y. Collection method not stated. | (b) TMP/SMX 3 days versus 10 days | ||||
Gaudreault,19 1992, Canada, ED | 45 | 40 | Symptomatic UTI. Children with UTI in previous 6 months excluded. Age 2.5–18 y. MSU samples. | Trimethoprim/sulphadiazine 3 days versus 10 days | UTI at end of treatment | 38 days |
UTI < 28 days after treatment | ||||||
Resistant organisms | ||||||
Johnson,18 1993, USA, OPD | 48 | 37 | Symptomatic UTI. Age 1–13 y. MSU, SPA, catheter samples. | Amoxicillin/clavulinic acid 3 days versus 10 days | UTI 4 days after treatment | 33 days |
UTI 30–47 days after therapy | ||||||
Resistant organisms | ||||||
Kornberg,17 1994, USA, ED & OPD | 38 | 25 | Symptomatic UTI. UTI in last 30 days excluded. | Cefuroxime 2 days versus 10 days | UTI 3–5 days after treatment | 15 months |
Age 2–11 y. MSU, catheter samples. | UTI at 1 –15 months |