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

Shapiro 1981.

Methods
  • Study design: parallel RCT

  • Study period: NS

Participants Inclusion criteria
  • Setting/recruitment: emergency department, Children's Hospital of Pittsburgh

  • Country: USA

  • Girls aged 2 to 18 years with symptoms of a UTI (including frequency, dysuria and/or urgency) and significant bacteriuria defined as ≥ 105 cfu/mL in 2 clean catch urine samples, or ≥ 1000 cfu/mL on supra‐pubic aspiration.

  • Mean age: 5.6 years

  • Number: 37 randomised, 35 analysed

    • Treatment group: 18

    • Control group: 17


Exclusion criteria
  • Clinical evidence of upper UTI (fever > 38ºC and/or flank pain); known anatomic or functional urinary tract abnormality; currently receiving antibiotics; history of penicillin allergy

Interventions Treatment group
  • Single‐dose amoxicillin 50 mg/kg (to a maximum of 2.5 g)


Control group
  • 10‐day amoxicillin 40 mg/kg/d in 3 divided doses (to a maximum of 500 mg/dose)

Outcomes
  • Persistent bacteriuria (2 days following treatment)

  • Recurrence (within 3 months following treatment)

Notes Source of funding: Not reported
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 Low risk Patient and physician
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Two children were excluded from analyses because the second urine culture was negative.
Selective reporting (reporting bias) Low risk All planned outcomes were reported