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. 2019 Apr 1;2019(4):CD001534. doi: 10.1002/14651858.CD001534.pub4

Savage 1973.

Methods
  • Study design: parallel RCT

  • Recruitment period: 1969 to 1970

  • Duration of follow‐up: mean of 44 months (treatment cessation 10 weeks)

Participants
  • Country: UK

  • Setting: single centre

  • Girls with a criteria for initial UTI diagnosis was > 100,000 CFU/mL on 3 consecutive occasions

  • VUR: 19

  • Number: treatment group (29); control group (34)

  • Mean age: treatment group (6 years 3 months); control group (5 years 10 months)

  • Sex: all girls

  • Exclusion criteria: past history of UTI or "unwell"

Interventions Treatment group
  • Antibiotic treatment according to sensitivities

    • Nitrofurantoin: 4 mg/kg/d for 10 weeks after 2 weeks acute treatment OR

    • Cotrimoxazole: 20 to 40 mg TMP; 100 to 200 mg SMX twice daily for 10 weeks after 2 weeks acute treatment


Control group
  • No treatment for 10 weeks after 2 weeks of acute treatment with ampicillin

Outcomes
  • Number of symptomatic UTI

  • Number of repeat positive cultures

Notes
  • Funding source: "This work was supported by a grant from the Secretary of State for Scotland"

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Study was described as randomised, method of randomisation was not reported
Allocation concealment (selection bias) Unclear risk States allocated by random numbers except for those with history of past UTI
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No blinding used
Blinding of outcome assessment (detection bias) 
 All outcomes High risk No blinding used
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Loss to follow‐up accounted for and described
Selective reporting (reporting bias) Low risk Appropriate primary outcome (symptomatic UTI)
Other bias Unclear risk Many methodology details missing