Skip to main content
. 2022 Aug 30;2022(8):CD013608. doi: 10.1002/14651858.CD013608.pub2
Study ID Outcome Arm 1 Arm 2 Arm 3 Comparison pair
Event or mean (SD) Total Event or mean (SD) Total Event or mean (SD) Total
De Leo 2017   Cranberry + noxamicina + D‐mannose (unknown doses) No treatment D‐mannose combined with dietary supplements versus no treatment
Symptomatic‐only UTI (cystitis)
Unit: number of patients reporting decrease in symptoms
UTI defined as: 'cystitis, with or without bacteriuria'.
Time: at 12 weeks
Type: "treatment and prevention"
"Slight decrease in symptoms of UTI in 5 participants".
Note: not reported from which arm
97 "Slight decrease in symptoms of UTI in 5 participants".
Note: not reported from which arm
50
Cure/complete remission of symptomatic and asymptomatic UTI
Unit: number of patients reporting decrease in symptoms
UTI defined as: 'cystitis, with or without bacteriuria' undefined in abstract
Time: at 12 weeks
Type: "treatment and prevention"
"Complete remission of symptoms in 92 women overall".
Note: not reported from which arm
100 "Complete remission of symptoms in 92 women overall".
Note: not reported from which arm
50
Adverse events 0 100          
Kuzmenko 2019 No appropriate outcome data reported: "relief of dysuric phenomena and pain" in both groups D‐mannose + antibiotic + prebiotic versus antibiotic + prebiotic
Kranjcec 2014   D‐mannose 2 g Nitrofurantoin 50 mg (antibiotic) No treatment 1). D‐mannose versus antibiotics
2). D‐mannose versus no treatment
Symptomatic and bacteriuria‐confirmed UTI
Unit: number of patients reporting a recurrent UTI
UTI defined as: confirmed isolated bacteria in acute cystitis
Time: at 24 weeks
Type: treatment and preventiona
15 103 21 103 62 102
Symptomatic only UTI (cystitis)
Unit: time from prophylactic therapy start to cystitis symptoms onset, median (IQR)
UTI defined as: 'cystitis' undefined
Time: at 24 weeks
Type: treatment and preventiona
43 (15 to 50) 103 24 (15 to 50) 103 28 (20 to 42) 102
Lopes de Carvalho 2012   D‐mannose 100 mg + cranberry 40 mg + vitamin C 60 mg Placebo D‐mannose combined with dietary supplements versus placebo
Symptomatic and bacteriuria‐confirmed UTI
Unit: not clear from abstract
UTI defined as: "urinary infections and urine cultures"
Time: at 12 weeks
Type: "treatment and prevention"
"a significant reduction in number of urinary infections and frequency in active group in respect to placebo group". 11 "a significant reduction in number of urinary infections and frequency in active group in respect to placebo group". 10
Palleschi 2017   D‐mannose 500 mg + N‐acetylcysteine 100 mg + Morinda citrifolia fruit extract 300 mg
  Prulifloxacin 400 mg (antibiotic) D‐mannose combined with dietary supplements versus antibiotic
Symptomatic and bacteriuria confirmed UTI
Unit: number of patients reporting a UTI
UTI defined as: "UTI incidence (symptomatic or asymptomatic) via urine cultures"
Time: 15 days from treatment start
Type: prevention (perioperative)
(Female) 1
 
(Male) 1
19
 
18
(Female) 1
 
(Male) 2
17
 
21
Porru 2014   D‐mannose 1 g Trimethoprim 160 mg sulfamethoxazole 800 mg (antibiotics) D‐mannose versus antibiotics
Symptomatic and bacteriuria‐confirmed UTI
Unit: number of patients with a UTI
UTI defined as: "acute flare of urinary symptoms + positive urine culture with at least
100,000 uropathogens per ml"
Time: approximately 52 weeks
Type: treatment and preventiona
 
No data available for first phase of cross‐over 60 No data available for first phase of cross‐over 60
Symptomatic and bacteriuria‐confirmed UTI
Unit: time to UTI recurrence, mean ± SD
UTI defined as: "acute flare of urinary symptoms + positive urine culture with at least
100,000 uropathogens per ml"
Time: approximately 52 weeks
Type: treatment and preventiona
No data available for first phase of cross‐over 60 No data available for first phase of cross‐over 60
Pain
Unit: average VAS (1 to 10) pain and urgency scores per patient reported during UTI episodes, mean ± SD
Time: approximately 52 weeks
Type: treatment and preventiona
No data available for first phase of cross‐over 60 No data available for first phase of cross‐over 60
Russo 2019   Cranberry + D‐mannose + Boswellia + Curcuma + NoxamicineVR (Kistinox ActVR ) (doses not reported) No treatment D‐mannose combined with dietary supplements versus no treatment
Symptomatic and bacteriuria confirmed UTI
Unit: Rate of UTI infections, cumulative incidence, unclear whether number of patients reporting or number reported per patient
Defined as: symptoms + positive urine culture
Time: 2 weeks postop
Type: prevention (perioperative)
1 20 1 20
Pain
Unit: average VAS (scale size unclear) pain scores/patient reported postop, mean ± SD
Time: 1 day postop
Type: prevention (perioperative)
1.2 ± 1.1 20 1.3 ± 0.9 20
Salinas‐Casado 2018   D‐mannose 2 g, 24 hour prolonged release, associated with proanthocyanidin 140 mg + ursolic acid 7.98 mg + vitamin A (unknown dose) + vitamin C (unknown dose) + vitamin D (unknown dose) oligoelement zinc (unknown dose) Proanthocyanidin 140 mg D‐mannose combined with dietary supplements versus dietary supplement
Symptomatic and bacteriuria‐confirmed UTI
Unit: patient
Defined as: symptomatic UTI with reactive urine strip and urine culture
Time: 24 weeks
Type: prevention
 
24% denominator is unclear 45% denominator is unclear
Footnotes:
a treatment and prevention: indicates that the patient population at enrolment were participants who had both an "acute symptomatic UTI and three or more UTIs documented with culture of midstream urine specimen at inclusion and in the preceding 12 months", or "baseline was women with acute cystitis (isolated bacteria) or history of recurrent cystitis (at least 2 episodes in 6 months or 3 in 12 months)". Therefore possible that participants had UTI at the start of treatment.
 
IQR: interquartile range; SD: standard deviation; UTI: urinary tract infection; VAS: visual analogue scale