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

Helin 1984.

Methods
  • Study design: parallel RCT

  • Study period: NS

Participants Inclusion criteria
  • Setting/recruitment: NS

  • Country: Sweden

  • Children aged under 15 years with at least 2 clinical symptoms of a UTI (including frequency, dysuria, urgency and enuresis) and significant bacteriuria defined as > 105 cfu/mL in a clean catch mid‐stream urine sample

  • Mean age: 7.2 years

  • Number: treatment group (19); control group (24)

  • Sex (M/F): 1/42


Exclusion criteria
  • Signs or laboratory findings suggesting upper urinary tract involvement (fever > 38.5ºC, flank pain, elevated ESR and leukocytosis); known sensitivity to cephalexin and nitrofurantoin; neurogenic bladder disorder; known structural malformation of the kidneys

Interventions Treatment group
  • 3‐day cephalexin 25‐50 mg/kg/d in 2 doses

  • Control group

  • 10‐day nitrofurantoin 3‐4 mg/kg/d in 2 or 3 doses

Outcomes
  • Persistent bacteriuria (4‐7 days following treatment)

  • Recurrence (any time during follow‐up; mean 8 months)

  • Re‐infection (any time during follow‐up; mean 8 months)

Notes Source of funding: NS
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
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