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. 2012 Oct 17;2012(10):CD001321. doi: 10.1002/14651858.CD001321.pub5

McMurdo 2005.

Methods
  • Study design: parallel group

  • Power calculation: yes

  • Intention‐to‐treat analysis: yes

Participants Inclusion criteria
  • Setting: single centre

  • Country: UK (Scotland)

  • 60 years or over admitted to either acute medicine for the elderly assessment or rehabilitation units for elderly people

  • Number: 376 randomised and analysed


Exclusion criteria
  • Mental State Questionnaire (MSQ) score < 5/10; dysphagia; symptoms of a UTI; antibiotic treatment; anticipated length of stay < 1 week; regular drinkers of cranberry juice; presence of an in‐dwelling catheter; terminal illness

  • In light of a UK Committee on Safety of Medicines alert about a potential interaction between cranberry juice and warfarin which emerged during the final 8 weeks of recruitment, warfarin was added as an exclusion for that period only.

Interventions Treatment group
  • Cranberry juice: 300 mL


Control group
  • Matching placebo beverage


Duration of treatment: 6 months
Outcomes
  • Time to onset of first symptomatic UTI: defined as a culture positive urine growing a single organism of > 104 cfu/mL urine specimen

  • Adherence to beverage drinking, courses of antibiotics prescribed, and organisms responsible for UTIs

Notes
  • Exclusions post randomisation: none

  • Method of obtaining urine sample: clean catch

  • Definition of bacteriuria

    • Only pure growths of ≥ 104 cfu/mL were reported with an antibiotic sensitivity

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Stratified by gender and computer generated
Allocation concealment (selection bias) Low risk Held by pharmacy, sealed numbered enveloped
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Blinding stated
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Blinding stated
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All patients analysed and reported; Losses to follow‐up/withdrawals: 115
Selective reporting (reporting bias) Low risk Appropriate clinical outcomes
Other bias Low risk No other bias apparent, well reported study
Source of funding: Chief Scientist Office at the Scottish Executive Department of Health. The cranberry juice and matching placebo were supplied by Ocean Spray Cranberries, Inc.