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

Lidefelt 1991.

Methods
  • Study design: parallel RCT

  • Study period: 1986‐1988

Participants Inclusion criteria
  • Setting/recruitment: emergency department, Sachs' Children's Hospital, Stockholm

  • Country: Sweden

  • Children aged less than 3 years to 12 years with symptoms of a UTI (including frequency, dysuria, and painful micturition) and significant bacteriuria defined as ≥ 105 cfu/mL in 2 separately voided urine samples. Children were required to have had not more than 2 previous UTIs, and the most recent at least 6 months prior to the start of the study.

  • Median age: 5 years

  • Number: treatment group (50); control group (50)

  • Sex (M/F): 13/87


Exclusion criteria
  • Signs of upper tract involvement (temperature < 38.5ºC, absence of loin pain, ESR < 20 mm/h); more than 2 previous UTIs

Interventions Treatment group
  • Single‐dose TMP 6 mg/kg


Control group
  • 5‐day TMP 3 mg/kg/12 h

Outcomes
  • Persistent bacteriuria (7 days following treatment)

  • Recurrence (> 7 days following treatment)

Notes
  • Source of funding: Swedish Medical Council, grant number 19X765, and the Swedish Society of Medicine.

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 were analysed in groups to which they were assigned
Selective reporting (reporting bias) Low risk Planned outcomes were analysed