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. 2021 Jun 29;2021(6):CD004011. doi: 10.1002/14651858.CD004011.pub4

4. Measurement of symptomatic urinary tract infection.

TrialID Outcome as defined by trial authors Trial definition Relevant definition outlined by International Guideline Panel
Ahmed 2014 Symptomatic UTI Significant bacteriuria with at least one of the following symptoms:
dysuria, frequency of micturition, urgency, suprapubic pain ir burning sensation at micturition
CDC
Alessandri 2006 UTI Significant bacteria which is determined by: urine culture and defined as at least 105 cfu/mL EAU: symptomatic bacteriuria
Allen 2016 UTI Not reported N/A
Alonzo‐Sosa 1997 UTI Defined as a positive urine sample associated with: dysuria, polyuria, incomplete emptying, pain, fever or sepsis.
A positive urine sample was defined as the presence of > 105 cfu/mL if MSU and 104 cfu/mL in a catheter sample.
CDC
Aref 2020 Symptomatic UTI “The diagnosis of symptomatic urinary tract infection was based on the following criteria: significant bacteriuria with at least one of the following symptoms; dysuria, frequency of micturition, urgency, supra pubic pain, or burning sensation at micturition.” CDC
Aslam 2019 UTI Not reported N/A
Azarkish 2003 UTI Not reported N/A
Azarkish 2005 Not reported Not reported N/A
Barone 2015 UTI Not reported N/A
Basbug 2020 Significant bacteruria Significant microscopic bacteriuria was defined as ≥ 100,000 bacteria/ mL MSU EAU: asymptomatic bacteriuria
Benoist 1999 UTI Culture yield of > 105 cfu/mL with or without symptoms With symptoms: CDC
Without symptoms: EAU definition for "Asymptomatic bacteriuria"
Bristoll 1989 Not reported Not reported N/A
Carpiniello 1988 UTI Culture yield of 105 cfu/mL EAU: asymptomatic bacteriuria
Carter‐Brooks 2018 UTI Defined as a positive culture or symptoms and antibiotic treatment N/A
Chai 2011 Symptomatic UTI Positive urine culture: > 105 cfu/mL of an identified single uropathogen/mL of urine
Symptomatic UTI: fever (> 38 °C) and dysuria with a positive urine culture
CDC
Chen 2013 CAUTI CDC criteria used to define symptomatic UTI and asymptomatic bacteriuria CDC
Chia 2009 CAUTI Not reported N/A
Chillington 1992 Not reported N/A N/A
Cornia 2003 CAUTI Growth from a urine specimen aseptically aspirated from the catheter of ≥ 100 cfu of a predominant pathogen OR ≥ 10 leukocytes per high‐power field on urinalysis in a patient with a clinical diagnosis of UTI N/A
Coyle 2015 Bacteriuria Symptomatic or asymptomatic bacteriuria used. No definition given N/A
Crowe 1993 Not reported N/A N/A
Dunn 1999 Not reported N/A N/A
Dunn 2000b UTI Not reported N/A
Dunn 2003 UTI Determined by either microscopic abnormality or any patient symptoms N/A
Durrani 2014 UTI Not reported N/A
El‐Mazny 2014 Significant bacteriuria Significant bacteriuria: > 105 cfu/mL of urine in a MSU sample collected 24 h post‐op EAU: asymptomatic bacteriuria
Ganta 2005 Not reported N/A N/A
Glavind 2007 Positive urine culture Defined as the presence of ≥ 105 cfu/mL EAU: asymptomatic bacteriuria
Gong 2017 Symptomatic UTI Defined as bacteriuria with fever, frequent or painful urination or burning on urination CDC
Gross 2007 UTI Used CDC criteria CDC
Gungor 2014 Not reported N/A N/A
Guzman 1994 UTI Urine culture of > 105 cfu/mL reported as outcome. Definition is not provided EAU: asymptomatic bacteriuria
Hakvoort 2004 UTI Signs of UTI: having > 10 WBC/high‐powered field and significant microscopic bacteriuria (1/high‐powered field) in the urine sediment
UTI: presence of > 105 cfu/mL in urine culture
EAU: asymptomatic bacteriuria
Hall 1998 Not reported N/A N/A
Han 1997 Not reported N/A N/A
Hewitt 2001 Not reported N/A N/A
Huang 2011 UTI Not reported N/A
Ind 1993 Not reported N/A N/A
Irani 1995 UTI Not reported N/A
Iversen Hansen 1984 Not reported N/A N/A
Jang 2012 Not reported N/A N/A
Jeong 2014 Not reported N/A N/A
Joshi 2014 Symptomatic UTI Symptomatic UTI: based on the presence of significant bacteriuria accompanied by at least 1 of the following symptoms: fever, dysuria, increased frequency of micturition, urinary urgency, suprapubic pain and dysuria CDC
Jun 2011 Not reported N/A N/A
Kamilya 2010 Symptomatic UTI Symptomatic UTI: positive urine culture of > 105 cfu/mL plus 1 of the following symptoms: dysuria, fever (> 38 °C) or rigors CDC
Kelleher 2002 Not reported N/A N/A
Kim 2012 Not reported N/A N/A
Koh 1994 UTI Not reported N/A
Kokabi 2009 UTI Not reported N/A
Lang 2020 UTI Not reported N/A
Lau 2004 Positive urine culture Not reported N/A
Li 2014 Infection Not reported N/A
Liang 2009 UTI UTI: positive urine culture of > 105 cfu/mL. However, treatment was only given for positive urine cultures if participant had adverse urinary symptoms or post‐op pyrexia (> 38 °C) CDC
Lista 2020 UTI Not reported N/A
Liu 2015 Not reported N/A N/A
Lyth 1997 Not reported N/A N/A
Mao 1994 Not reported N/A N/A
Matsushima 2015 Not reported N/A N/A
McDonald 1999 Not reported N/A N/A
Naguimbing‐Cuaresma 2007 Not reported N/A N/A
Nathan 2001 Positive catheter specimen urine (CSU) Not reported N/A
Nguyen 2012 Not reported N/A N/A
Nielson 1985 Not reported N/A N/A
Noble 1990 Not reported N/A N/A
Nyman 2010 Not reported N/A N/A
Oberst 1981 Not reported N/A N/A
Onile 2008 Significant bacteriuria Significant bacteriuria: positive urine culture of > 105 cfu/mL in a sample of MSU collected 72 h post‐op with signs of a fever ( a temperature of > 38 °C on 2 occasions within 10 days of the procedure, excluding the first 24 h) CDC
Ouladsahebmadarek 2012 Symptomatic UTI Not reported N/A
Pervaiz 2019 UTI Urine sample was obtained to assess UTI (bacterial colony count > 105 cfu/mL on urine culture after removal of catheter assessed on day 7) EAU: catheter‐associated asymptomatic bacteriuria
Popiel 2017 UTI Not reported N/A
Rajan 2017 UTI Urinary infections defined as when microscopic examination of the urine revealed pus cells or when urine culture showed growth of pathogenic organisms N/A
Ruminjo 2015 Not reported N/A N/A
Sahin 2011 Not reported N/A N/A
Sandberg 2019 UTI Standard urine test for nitrite and leucocytes in combination with clinical symptoms Not clear whether test is dipstick only or whether it involves microscopy/culture
Schiotz 1995 UTI Positive cultures: culture of > 105 cfu/mL in a sample of MSU or CSU culture of > 104 cfu/mL
UTI: positive urine culture in the absence of symptoms. Patients were defined as having UTI if there was any doubt
EAU: asymptomatic bacteriuria
Schiotz 1996 UTI Positive cultures: culture of > 105 cfu/mL in a sample of MSU or CSU culture of > 104 cfu/mL
UTI: positive urine culture in the absence of symptoms. Participants were defined as having UTI if there was any doubt
EAU: asymptomatic bacteriuria
Sekhavat 2008 Positive urine culture Positive urine culture: prevalence of symptomatic UTI was confirmed through a positive urine culture OR through signs of UTI such as: frequency, urgency, dysuria, suprapubic pain or fever Does not fully meet the criteria for CDC. Must be positive cultures AND clinical features
Shahnaz 2016 Positive urine culture The presence of positive urinary culture or > 100,000 colony counts in each mL of urine or > 10 pieces of leukocyte in each microscopy field was considered as a urinary infection. EAU: asymptomatic bacteriuria
Shrestha 2013 Asymptomatic bacteriuria Asymptomatic bacteriuria: pus cells of > 5 per high‐power field in routine examination of urine and bacterial culture positive EAU: asymptomatic bacteriuria
Souto 2004 Not reported N/A N/A
Sun 2004 UTI UTI: positive urine culture of > 105 cfu/mL or WBC > 5/high‐power field in urine analysis EAU: asymptomatic bacteriuria
Tahmin 2011 UTI UTI: positive urine culture of > 105 cfu/mL EAU: asymptomatic bacteriuria
Talreja 2016 Not reported N/A N/A
Taube 1989 Not reported N/A N/A
Toscano 2001 Not reported N/A N/A
Valero Puerta 1998 Not reported N/A N/A
Vallabh‐Patel 2020 UTI For the purpose of this trial, participants were considered positive for a UTI if they had (1) positive urine cultures per CDC guidelines or (2) treated empirically over the phone for symptoms of UTI, even in the absence of a urine culture CDC
Webster 2006 Not reported N/A N/A
Weemhoff 2011 UTI UTI: > 25 WBC/high‐power field, nitrate production, > 20 bacteria/high‐power field, positive urine culture of > 105 cfu/mL EAU: asymptomatic bacteriuria
Williamson 1982 Not reported N/A N/A
Wilson 2000 Not reported N/A N/A
Wu 2015 Not reported N/A N/A
Wyman 1987 Not reported N/A N/A
Yaghmaei 2017 Not reported N/A N/A
Yee 2015 Not reported N/A N/A
Zaouter 2009 UTI UTI: pyrexia of > 38 °C, clinical features of UTI (dysuria, frequency, urgency, suprapubic pain, urinary incontinence) and a positive urine culture (107 bacterial colonies of micro‐organism‐forming units/L within 2 weeks after the removal of bladder catheter) CDC
EAU: complicated UTI
Zhou 2012 Not reported Defined as post‐catheter removal MSU clean catch culture of ≥ 104 cfu/mL for Gram positive organisms or ≥ 105 cfu/mL for Gram negative organisms EUA: asymptomatic bacteriuria
Zmora 2010 UTI
Asymptomatic bacteriuria
UTI: positive urine culture and symptoms suggestive of UTI CDC
Zomorrodi 2018 UTI Not reported N/A

CAUTI: catheter‐associated urinary tract infection; CDC: Centers for Disease Control and Prevention; cfu: colony forming unit; CSU: catheter specimen urine; EAU: European Association of Urology; MSU: midstream urine; N/A: not applicable; UTI: urinary tract infection; WBC: white blood count