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. 2017 Jun 18;2017(6):CD004637. doi: 10.1002/14651858.CD004637.pub2

Mathews 1979.

Methods Design: randomised double‐blinded
No. eligible: not stated
No. randomised: not explicitly stated
No. analysed: 50
Drop‐outs/withdrawals: none reported
Years of recruitment: 1975 to 1978
Setting: All Saints' Hospital, Chatham, UK
Participants Inclusion criteria: women given appointments to be admitted for vaginal hysterectomy
 Exclusion criteria: prophylactic antibiotics considered essential or contraindicated, allergy to study drugs
 Age: mean 56 to 61 years
 Type of hysterectomy: vaginal
Interventions Treatment: 10 mL co‐trimoxazole (sulphonamide), containing total of 800 mg sulphamethoxazole and 160 mg trimethoprim
Control: placebo
Route: IV
Single/multiple doses: single
Timing of dose: at beginning of operation
Outcomes Urinary tract infection
Pelvic infection
Postoperative fever
Need for therapeutic antibiotics
Adverse effects (narrative data only)
Follow‐up: 6 weeks (but only early data included in this review, as unclear whether early/late data overlap)
Funding One study author affiliated with Wellcome Foundation
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Stated as randomised; no additional details
Allocation concealment (selection bias) Low risk States that conduct of study was as described in Mathews 1977 (see above)
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk States that conduct of study was as described in Mathews 1977 (see above)
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Proportions of withdrawals and reasons for withdrawal not reported across treatment groups
Selective reporting (reporting bias) Low risk Data available on all prespecified outcomes
Other bias Low risk Baseline demographic characteristics similar between treatment groups