Cochrane · systematic review · CD012457

Prophylactic antibiotics for preventing infection after continence surgery in women with stress urinary incontinence

Temtanakitpaisan, T, Buppasiri, P, Lumbiganon, P, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

IncontinenceAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
4
No studies
2
Included studies
NR
No studies 2 · 33.3%Ungraded 0 · 0%Very low 4 · 66.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Prophylactic antibiotics (single or combined drugs) versus placebo or no treatment

Population: women with urinary stress incontinence undergoing continence surgery
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of surgical site infections (SSIs) before discharge
Prophylactic antibiotics (single or combined drugs) vs placebo or no treatment
RR 0.56 [0.13, 12.35]2 studies · 85 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Number of major adverse effects defined by the study, before discharge
Prophylactic antibiotics (single or combined drugs) vs placebo or no treatment
no estimate extractedNRNo studies
Number of symptomatic UTIs or bacteriuria before discharge
Prophylactic antibiotics (single or combined drugs) vs placebo or no treatment
RR 0.84 [0.05, 13.24]2 studies · 85 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Number of women with febrile morbidity at hospital discharge
Prophylactic antibiotics (single or combined drugs) vs placebo or no treatment
RR 0.08 [0, 1.29]2 studies · 85 participantsVery low
Downgraded: risk of bias, imprecision
Number of women with sepsis or bacteraemia at hospital discharge
Prophylactic antibiotics (single or combined drugs) vs placebo or no treatment
no estimate extractedNRNo studies
Number of mesh exposures within six weeks after the operation
Prophylactic antibiotics (single or combined drugs) vs placebo or no treatment
RR 0.32 [0.01, 7.61]1 study · 59 participantsVery low
Downgraded: risk of bias, imprecision