Intended for healthcare professionals

Rapid response to:

Practice Guidelines

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

BMJ 2007; 335 doi: (Published 23 August 2007) Cite this as: BMJ 2007;335:395

Rapid Response:

A positive document

The recent UTI guildlines are to be welcomed by general
paediatricians and general practice. It may not be perfect but certainly
a significant improvement on previous guidelines, clearer and more

Advantages are:

1. Reduced burden on NHS and decrease expenditure in managing UTIs.

2. Less anxiety and travel involved for child and parents.

3. Less need for imaging.

3. Less burden on paediatric outpatient clinics.

4. Relatively fewer hospital admissions and shorter stay.

5. Fewer IV antibiotics above 3 months of age.

I feel this is an important document for the management of UTI in
children, good for the patients, good for doctors and good for the health

In current times of financial contraints, it is responsibility of
medical profession not to ignore the cost implications while propagating
evidenced based medicine. There needs to be an acceptable balance in our
approach in the future.

1. National Institute for Health and Clinical Excellence (NICE).
Urinary tract infection in children. (

2. Watson AR. Management of urinary tract infection in children.
British Medical Journal 2007;335:356-7.

Competing interests:
None declared

Competing interests: No competing interests

31 August 2007
Ashok Beckaya
Associate Specialist Paediatrician
Epsom & St. Helier Univ. Hosps