Intended for healthcare professionals

Letters NICE on childhood UTI

Nasty processes produce nasty guidelines

BMJ 2007; 335 doi: (Published 06 September 2007) Cite this as: BMJ 2007;335:463
  1. Malcolm G Coulthard, consultant paediatric nephrologist
  1. Royal Victoria Infirmary, Newcastle NE1 4LP
  1. malcolm.coulthard{at}

    The guideline from the National Institute for Health and Clinical Excellence (NICE) on urinary tract infections (UTI) in childhood1 was welcomed by the BMJ.2 3 Most readers will assume it was based on evidence correctly analysed by medical statisticians, robustly peer reviewed, and openly debated. As this is a controversial subject, dependent more on small studies than randomised controlled trials, many will imagine that it represented consensus following wide consultation, as stated.1 Sadly, all these assumptions are wrong.

    The NICE guideline committee …

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