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. 2012 Aug 15;2012(8):CD006857. doi: 10.1002/14651858.CD006857.pub2

Grimwood 1988.

Methods
  • Study design: parallel RCT

  • Study period: NS

Participants Inclusion criteria
  • Setting/recruitment: outpatients department, Christchurch Hospital

  • Country: New Zealand

  • Children aged 2 weeks to 12 years with significant bacteriuria defined as > 105 cfu/mL in 2 consecutive clean catch urine samples or any growth on supra‐pubic aspiration. Children with cystitis were afebrile or had fever < 38ºC, no loin pain or tenderness and were without other significant systemic symptoms.

  • Mean age: 4.9 years

  • Number of participants: 45 children


Exclusion criteria
  • Children with pyelonephritis were also included in this study and were reported separately (and excluded from this review).

Interventions Treatment group
  • Single intramuscular gentamicin injection 3 mg/kg


Control group
  • 7‐day course of appropriate antibiotic depending on culture sensitivity in standard doses (included TMP‐SMX, amoxicillin, cephlosporins).

Outcomes
  • Persistent bacteriuria (1 day following treatment)

  • Recurrence (< 1 week following treatment)

  • Re‐infection (> 1 week following treatment)

Notes
  • 23 children with 3 or more proven UTIs during the preceding 12 months were defined as having a history of recurrent UTIs.

  • Source of funding: National Children's Health Research Foundation

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random numbers table
Allocation concealment (selection bias) Unclear risk Not reported
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All patients randomised were analysed
Selective reporting (reporting bias) Low risk Planned outcomes were all analysed