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. 2019 Nov 25;2019(11):CD000490. doi: 10.1002/14651858.CD000490.pub4

Mulla 1960.

Methods Randomised trial, 2 parallel groups
Participants Inclusion: bacteriuria at 30 to 32 weeks; microbiological criteria not stated
Setting: Ohio, USA
Number of participants: N = 100
Interventions Sulfadimethoxine 250 mg twice a day x 7 days, repeated if bacteriuria persisted (N = 50) vs no treatment (N = 50)
Outcomes Pyelonephritis (criteria for diagnosis not given; described as "acute symptoms of cystopyelitis").
Notes Half (13/26) infections developed postpartum; only antepartum infections included in analysis
No side effects necessitating discontinuation of treatment
Dates of study: not stated
Funding sources: not stated
Declarations of interest: none reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No description of sequence generation process
Allocation concealment (selection bias) Unclear risk Women were "randomly divided into two groups"; no other details provided
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not placebo‐controlled
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No information provided to judge whether outcome assessment was blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing outcome data
Selective reporting (reporting bias) High risk No definition for outcome of "cystopyelitis"; no pregnancy outcomes (gestational age, birthweight)
Other bias Low risk The study appears to be free of other sources of bias.
Overall Risk of Bias Unclear risk Judged at overall high risk of bias.