Meta AnalysisID 2351

蔓越莓、D-甘露糖和非甾体抗炎药预防或治疗女性非复杂性尿路感染的临床试验结果:系统评价

CRD42021297037

What are the human clinical trial outcomes of different nonantibiotic alternatives including: 1. cranberry 2. D-mannose 3. NSAIDs in preventing or treating uncomplicated UTIs in adult, non-pregnant women?

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Record Fields

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Meta Analysis Id
2351
Evidence Id
10909
Core Evidence Id
10909
Source Meta Analysis Id
2298
Herb2 Meta Analysis Id
HBMA002298
Crd Id
CRD42021297037
Title
The Clinical Trial Outcomes Of Cranberry, D-mannose And NSAIDs In The Prevention Or Treatment Of Uncomplicated Urinary Tract Infections In Women: A Systematic Review
Review Question
What are the human clinical trial outcomes of different nonantibiotic alternatives including: 1. cranberry 2. D-mannose 3. NSAIDs in preventing or treating uncomplicated UTIs in adult, non-pregnant women?
Study Type Included
Just needs to be a human clinical trial in women, there are no restrictions to the type of study. This is because we do not want to limit the scope of trials.
Condition Being Studied
Urinary tract Infections (UTIs) are most common in women, comprising nearly 25% of all infections. Approximately 50 to 60% of women will report a UTI at least once in their lifetime, with one in three women experiencing a symptomatic UTI treated with antibiotics by age 24. Of these women, 20–40% will experience recurrent UTI (r-UTI). To treat UTIs, antibiotics are typically prescribed for uncomplicated bacterial cystitis. However, in many countries antibiotic resistance has significantly increased towards these first-line antimicrobial drugs and developed multi- and pan-drug resistant strains. Hence, there is a need to investigate other nonantibiotic alternatives for preventing or treating UTIs. This review hopes to provide evidence from human clinical trials of whether nonantibiotic treatments were effective in preventing or treating uncomplicated UTIs in adult, non-pregnant women.
Participant
Inclusion: Adult, non-pregnant women (<u>&gt;</u> 18 years old) with an uncomplicated UTI Exclusion: Pregnant women, children, men with a UTI
Animal
Human Disease Modelled
Intervention
Inclusion: Cranberry (any cranberry formulations in a capsule or drink form) , D-mannose (any D-mannose formulations in a capsule or drink form) or non-steroidal anti-inflammatory drugs (NSAIDs)
Comparator Control
Must compare a cranberry, D-mannose or NSAID to a control (placebo, lower dosage of nonantibiotic treatment, no intervention etc.)
Main Outcome
Primary outcomes assessed include: 1. The number of symptomatic UTIs obtained during treatment period 2. Symptom resolution Secondary outcomes assessed include: 1. Time to first recurrence 2. Change in antibiotic consumption Measures of effect Number needed to prevent or treat UTIs
Outcome Measure
Additional Outcome
Not applicable
Study Method
Systematic review
Keyword
Anti-Inflammatory Agents, Non-Steroidal; Female; Humans; Mannose; Phytotherapy; Urinary Tract Infections; Vaccinium macrocarpon
Contact
Jenane Konesan [email protected]
Organisational Affiliation
UNSW
Funding Source
Not applicable Grant number(s) <span style=font-size: 14px>State the funder, grant or award number and the date of award</span> Not applicable
Other Selection Criteria
Final Publication
Same Topic Review
not applicable
Published Protocol
Review Type
Language
English
Country
Australia
Review Stage
Review Ongoing
First Submission Date
2021-12-08
Registration Date
2021-12-08
Anticipated Start Date
2021-08-31
Anticipated Completion Date
2022-03-31
Title Cn
蔓越莓、D-甘露糖和非甾体抗炎药预防或治疗女性非复杂性尿路感染的临床试验结果:系统评价
Title En
The Clinical Trial Outcomes Of Cranberry, D-mannose And NSAIDs In The Prevention Or Treatment Of Uncomplicated Urinary Tract Infections In Women: A Systematic Review
Bilingual Status
complete