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Cochrane Database of Systematic Reviews

Probióticos para la prevención de la infección urinaria en pacientes con vejiga neuropática

Información

DOI:
https://doi.org/10.1002/14651858.CD010723.pub2Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 08 septiembre 2017see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Riñón y trasplante

Copyright:
  1. Copyright © 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

Cifras del artículo

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Contraer

Autores

  • Swee‐Ling Toh

    Spinal Medicine Department, Prince of Wales Hospital, Randwick, Australia

  • Claire L Boswell‐Ruys

    Neuroscience Research Australia, Randwick, Australia

  • Bon San B Lee

    Correspondencia a: Spinal Medicine Department, Prince of Wales Hospital, Randwick, Australia

    [email protected]

    [email protected]

  • Judy M Simpson

    Sydney School of Public Health, The University of Sydney, Sydney, Australia

  • Kate R Clezy

    Infectious Diseases, Prince of Wales Hospital, Randwick, Australia

Contributions of authors

  1. Draft the protocol: CBR, ST

  2. Study selection: CBR, ST

  3. Extract data from studies: CBR, ST

  4. Enter data into RevMan: CBR, ST

  5. Carry out the analysis: CBR, ST

  6. Interpret the analysis: CBR, ST, JMS, KC

  7. Draft the final review: CBR, ST, KC

  8. Disagreement resolution: BL

  9. Update the review: CBR, ST

Sources of support

Internal sources

  • No sources of support supplied

External sources

  • NHMRC, Australia.

    Project Grant Application: 630448

Declarations of interest

Dr Lee is the lead investigator of NHMRC Project Grant Application: 630448 Probiotic Prophylaxis of Spinal Cord Injury Urinary Tract‐Infection TherapeUtic‐Trial (ProSCIUTTU), which is an Australian government‐sponsored study looking at the effectiveness of Probiotic therapy in preventing urinary tract infection and multidrug resistance. Dr Toh is completing a PhD looking at whether probiotics can prevent UTI in patients with spinal cord injury and neurogenic bladders. Dr Toh and Dr Boswell‐Ruys are also assisting in the ProSCIUTTU trial. No other authors had any declarations of interest.

Acknowledgements

We would like to acknowledge Cochrane Kidney and Transplant for their assistance with this review. We are also grateful for comments and feedback from the peer referees during preparation of the review. Also Professor Wullt for providing further data and clarification.

Version history

Published

Title

Stage

Authors

Version

2017 Sep 08

Probiotics for preventing urinary tract infection in people with neuropathic bladder

Review

Swee‐Ling Toh, Claire L Boswell‐Ruys, Bon San B Lee, Judy M Simpson, Kate R Clezy

https://doi.org/10.1002/14651858.CD010723.pub2

2013 Sep 03

Probiotics for preventing urinary tract infection in people with neuropathic bladder

Protocol

Claire L Boswell‐Ruys, Swee‐Ling Toh, Bon San B Lee, Judy M Simpson, Kate R Clezy

https://doi.org/10.1002/14651858.CD010723

Differences between protocol and review

Summary of findings table has been incorporated.

Keywords

MeSH

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

Study flow diagram.
Figuras y tablas -
Figure 1

Study flow diagram.

Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
Figuras y tablas -
Figure 2

Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Figuras y tablas -
Figure 3

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.

Comparison 1 Intravesical bacterial interference, Outcome 1 Symptomatic UTI.
Figuras y tablas -
Analysis 1.1

Comparison 1 Intravesical bacterial interference, Outcome 1 Symptomatic UTI.

Summary of findings for the main comparison. Intravesical bacterial interference versus placebo for preventing urinary tract infection in people with neuropathic bladder

Intravesical bacterial interference versus placebo for preventing urinary tract infection in people with neuropathic bladder

Patient or population: people with neuropathic bladder
Setting: outpatient
Intervention: intravesical bacterial interference
Comparison: placebo

Outcomes

Anticipated absolute effects* (95% CI)

Relative effect
(95% CI)

No. of participants (studies)

Quality of the evidence
(GRADE)

Risk with placebo

Risk with intravesical bacterial interference

Symptomatic UTI
Follow‐up: mean 12 months

613 per 1,000

196 per 1,000
(49 to 729)

RR 0.32
(0.08 to 1.19)

110 (3)

⊕⊝⊝⊝1
VERY LOW

GRADE Working Group grades of evidence
High quality: We are very confident that the true effect lies close to that of the estimate of the effect
Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect

1Risk of bias was assessed at high in most domains, with heterogeneity and small studies, suggesting that results overestimate intravesical bacterial interference versus placebo

Figuras y tablas -
Summary of findings for the main comparison. Intravesical bacterial interference versus placebo for preventing urinary tract infection in people with neuropathic bladder
Comparison 1. Intravesical bacterial interference

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Symptomatic UTI Show forest plot

3

110

Risk Ratio (M‐H, Random, 95% CI)

0.32 [0.08, 1.19]

Figuras y tablas -
Comparison 1. Intravesical bacterial interference