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

Pathak 1969.

Methods Placebo‐controlled; 2 parallel groups
Participants Inclusion: bacteriuria (> 100,000 bacteria/mL x 2)
Exclusion: > 24 weeks' gestation; BP > 130/90 mmHg
Setting: Kingston, Jamaica
Interventions Nitrofurantoin 100 mg twice a day x 3 weeks; 400 mg in 4 doses for further 4 days for those who did not respond (6 women), (N = 76) vs identical appearing placebo (N = 76)
Outcomes Persistence of bacteriuria (at end of pregnancy); pyelonephritis (criteria not described)
Postpartum bacteriuria (3 to 9 months): 6/24 treatment vs 16/45 placebo
Notes 12/88 women in treatment group and 14/90 in control group not included in analysis (treated for positive treponemal serology N = 21; defaulted from clinic N = 5)
Rates for preterm birth/fetal loss only presented by bacteriuric status, not treatment group
Rates for postpartum bacteriuria available for 69 women
Dates of study: not stated
Funding sources: Norwich Pharmacal Company, Norwich, New York; National Institutes of Health, U.S. Public Health service (R 01‐HD 02139‐05)
Declarations of interest: none reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "on a random basis". Insufficient information provided to permit further judgement.
Allocation concealment (selection bias) Unclear risk Method of concealment not described
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk No information provided to permit judgement.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No information provided to permit judgement.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Missing outcome data balanced; reasons similar and unlikely to have introduced bias.
Selective reporting (reporting bias) High risk 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 Unclear overall