Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

122 questions · 124 findings · 13 reviews · Kidney and Transplant

No studies found 19 · 15.3%GRADE not reported 0 · 0%Very low 46 · 37.1%Low 38 · 30.6%Moderate 21 · 16.9%High 0 · 0%

Antibiotic 1 vs antibiotic 2

Microbial resistance to prophylactic drugs: nitrofurantoin (1) versus cotrimoxazole (2) · children with primarily normal renal tracts who have experienced at least one UTI

Antibiotic 1 probably leads to lower microbial resistance to prophylactic drugs: nitrofurantoin (1)… compared with antibiotic 2 (moderate certainty).

1 finding from 1 review

Antibiotic 1 vs antibiotic 2

Adverse events: cotrimoxazole (1) versus cefprozil (2) · children with primarily normal renal tracts who have experienced at least one UTI

Antibiotic 1 showed no clear difference in adverse events: cotrimoxazole (1) versus cefprozil (2) compared with antibiotic 2 (low certainty).

1 finding from 1 review

Antibiotic 1 vs antibiotic 2

Adverse events: nitrofurantoin (1) versus trimethoprim (2) · children with primarily normal renal tracts who have experienced at least one UTI

Antibiotic 1 may leads to higher adverse events: nitrofurantoin (1) versus trimethoprim (2) compared with antibiotic 2 (low certainty).

1 finding from 1 review

Antibiotics vs placebo or no treatment

Recurrence of symptomatic UTI in children without VUR · children with previous UTI and most do not have a renal tract abnormality such as VUR

Antibiotic treatment showed no clear difference in recurrence of symptomatic UTI in children without VUR compared with placebo or no treatment (low certainty).

1 finding from 1 review

Antibiotics vs placebo or no treatment

Recurrence of symptomatic UTI in children with VUR · children with previous UTI and most do not have a renal tract abnormality such as VUR

Antibiotic treatment showed no clear difference in recurrence of symptomatic UTI in children with VUR compared with placebo or no treatment (low certainty).

1 finding from 1 review

Antibiotics vs placebo or no treatment

Recurrence of symptomatic UTI in children, in studies with adequate allocation concealment · children with previous UTI and most do not have a renal tract abnormality such as VUR

Antibiotic treatment probably leads to lower recurrence of symptomatic UTI in children, in studies with adequate… compared with placebo or no treatment (moderate certainty).

1 finding from 1 review

Antibiotics vs placebo or no treatment

Repeat positive urine culture · children with previous UTI and most do not have a renal tract abnormality such as VUR

It is very uncertain whether antibiotic treatment changes repeat positive urine culture compared with placebo or no treatment (very low certainty).

1 finding from 1 review

Antibiotics vs placebo or no treatment

Microbial resistance to prophylactic drug · children with previous UTI and most do not have a renal tract abnormality such as VUR

Antibiotic treatment showed no clear difference in microbial resistance to prophylactic drug compared with placebo or no treatment (moderate certainty).

1 finding from 1 review

Antibiotic 1 vs antibiotic 2

Recurrence of symptomatic UTI in children · children with primarily normal renal tracts who have experienced at least one UTI

Antibiotic 1 showed no clear difference in recurrence of symptomatic UTI: cotrimoxazole (1) versus cefadroxil (2) compared with antibiotic 2 (low certainty).

1 finding from 1 review

Intervention not reported

Number of subjects who developed symptomatic UTI (6 months to 1 year) · adults with asymptomatic bacteriuria

The intervention showed no clear difference in number of subjects who developed symptomatic UTI (6 months to 1 year) (moderate certainty).

1 finding from 1 review

Intervention not reported

Number of subjects who developed complications (10 months to 3 years) · adults with asymptomatic bacteriuria

The intervention showed no clear difference in number of subjects who developed complications (10 months to 3 years) (moderate certainty).

1 finding from 1 review

Intervention not reported

Death (6 months to 8 years) · adults with asymptomatic bacteriuria

The intervention showed no clear difference in death (6 months to 8 years) (moderate certainty).

1 finding from 1 review

Intervention not reported

Number of subjects who develop any adverse event (42 days to 10 months) · adults with asymptomatic bacteriuria

The intervention probably leads to higher number of subjects who develop any adverse event (42 days to 10… (moderate certainty).

1 finding from 1 review

Intervention not reported

Number of subjects with bacteriological cure (42 days to 4 years) · adults with asymptomatic bacteriuria

The intervention probably leads to higher number of subjects with bacteriological cure (42 days to 4 years) (moderate certainty).

1 finding from 1 review