BMJ  2007;335:395-397 (25 August), doi:10.1136/bmj.39286.700891.AD

Practice

Guidelines

Diagnosis and management of urinary tract infection in children: summary of NICE guidance

Rintaro Mori, research fellow1, Monica Lakhanpaul, clinical co-director for guidelines, and senior lecturer in child health2, Kate Verrier-Jones, reader in child health, Cardiff University, and honorary consultant paediatric nephrologist, University Hospital of Wales3

1 National Collaborating Centre for Women's and Children's Health, Royal College of Obstetricians and Gynaecologists, London NW1 4RG, 2 National Collaborating Centre for Women's and Children's Health, Royal College of Obstetricians and Gynaecologists, and University of Leicester, Leicester, 3 Cardiff and Vale NHS Trust, Cardiff CF14 4XN

Correspondence to: M Lakhanpaul mlakhanpaul@ncc-wch.org.uk

The first 150 words of the full text of this article appear below.

Why read this summary?

Although urinary tract infection affects at least 3.6% of boys and 11% of girls, establishing the diagnosis is difficult in early childhood owing to the lack of specific urinary symptoms, difficulty in urine collection, and contamination of samples. Most children have a single episode and recover promptly. Current imaging, prophylaxis, and prolonged follow-up strategies place a heavy burden on patients, families, and NHS resources and carry risks without evidence of benefit. This article summarises the most recent guidance from the National Institute for Health and Clinical Excellence (NICE) on how to provide consistent clinically and cost effective practice for the diagnosis, treatment, and further management of urinary tract infection in childhood.1

Recommendations

NICE recommendations are based on systematic reviews of best available evidence. When minimal evidence is available, a range of consensus techniques is used to develop recommendations. In this summary, recommendations derived primarily from consensus . . . [Full text of this article]


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Nasty processes produce nasty guidelines
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