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Therapeutics
Review: antimicrobial prophylaxis reduces asymptomatic bacteriuria in patients with neurogenic bladder

https://doi.org/10.1136/ebm.5.4.118

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    . Vickrey BG, Shekelle P, Morton S, et al. Prevention and management of urinary tract infections in paralyzed persons. Rockville, MD: Agency for Health Care Policy and Research; February 1999; AHCPR publication no. 99-E008. http://www.ahcpr.gov/clinic/utisumm.htm..

    
 
 QUESTION: Does oral antimicrobial prophylaxis reduce the number of urinary tract infections (UTIs) in people with neurogenic bladder resulting from spinal cord dysfunction (SCD)?

    Data sources

    Studies of any language were identified by searching Medline (1966 to January 1998), EMBASE/Excerpta Medica (1974 to January 1998), and CINAHL (1982 to July 1998). Additional studies were identified by panel members and from bibliographies of relevant papers.

    Study selection

    Studies were selected if they were randomised controlled trials of adolescents and adults with neurogenic bladder resulting from SCD who received treatment to prevent recurrent UTI and the outcomes included asymptomatic (bacteriuria) or symptomatic UTI.

    Data extraction

    Data were extracted on study population, specific treatments, group size, outcomes measured, and results. Main outcome was weekly infection rate, …

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    Footnotes

    • Source of funding: Agency for Health Care Research and Quality.

    • For correspondence: Dr B G Vickrey and Dr P Shekelle, Southern California Evidence-Based Practice Center, RAND, 1700 Main Street, Santa Monica, CA 90401, USA. Fax +1 310 451 6930.