5. Measurement of symptomatic urinary tract infection.
Study ID | Outcome as defined by trialists | Definition | When urine sample was taken | Outcome as defined by IDSA criteria |
Baan 2003 | UTI | ≥ 1 clinical symptoms (fever, increased micturition frequency, burning pain during voidance, pain in lower abdomen); positive sediment (> 10 leukocytes); positive urine culture of > 10⁵ bacterial colonies + < 3 bacterial species | 48 hours after catheter removal | Symptomatic UTI |
Barry 1992 PE | UTI | No definition | Daily until catheter removal | Unknown, so collect data assuming symptomatic UTI |
Dixon 2010 | UTI | Catheter specimen of urine or a midstream urine specimen showing a single bacterium growing at a colony count of > 105 cfu/ml. Specimen only taken if UTI suspected on the basis of: pyrexia > 37.5° C, frequent voiding + discomfort when passing urine and positive urinalysis for leukocytes + nitrites | Preoperatively, and postoperatively if UTI suspected | Symptomatic UTI |
Hakvoort 2011 | UTI | > 10⁵ cfu/ml + ≥ 1 of the following: fever, urinary frequency (> 7 voids/day), dysuria, lower abdominal pain | After PVR had normalised and catheterisation had stopped | Symptomatic UTI |
Korkes 2008 | UTI | No definition | No information | Unknown, so collect data assuming symptomatic UTI |
Kringel 2010 | Symptomatic UTI | CDC definition: Indwelling urinary catheter was in place for > 2 calendar days on the date of event, with day of device placement being Day 1, AND an indwelling urinary catheter was in place on the date of event or the day before. If an indwelling urinary catheter was in place for > 2 calendar days and then removed, the UTI criteria must be fully met on the day of discontinuation or the next day. Patient has at least one of the following signs or symptoms: fever (> 38.0° C), suprapubic tenderness, costovertebral angle pain or tenderness, urinary urgency, urinary frequency, dysuria. Patient has a urine culture with no more than 2 species of organisms, at least one of which is a bacteria of ≥ 10⁵ cfu/ml. | 4th postoperative day | Symptomatic UTI |
Ratnaval 1996 | UTI | No definition | Prior to removal of catheter and if participants developed urinary symptoms after catheter removal | Unknown, so collect data assuming symptomatic UTI |
Schiotz 1989 | UTI | Bacteriuria > 105 organisms/ml AND ≥ 1 of following: dysuria, pain, fever (rectal temp > 38.5° C measured twice), rigors, sepsis | Preoperatively, at catheter removal and at follow‐up 6 ‐ 8 weeks postoperatively | Symptomatic UTI |
Tang 2006 | symptomatic UTI | Fever in the absence of other sites of infection with or without symptoms of dysuria or suprapubic discomfort on day 14 | 1st and 14th days | Symptomatic UTI |
PVR: post‐void residual