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Urinary Tract Infection in Children

Diagnosis, Treatment and Long-term Management

NICE Clinical Guidelines, No. 54

National Collaborating Centre for Women's and Children's Health (UK).

London: RCOG Press; 2007 Aug.
ISBN-13: 978-1-904752-40-0
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Excerpt

In the past 30–50 years, the natural history of urinary tract infection (UTI) in children has changed as a result of the introduction of antibiotics and improvements in health care. This change has contributed to uncertainty about the most appropriate and effective way to diagnose and treat UTI in children and whether or not investigations and follow-up are justified.

UTI is a common bacterial infection causing illness in children. It may be difficult to recognise UTI in children because the presenting symptoms and/or signs are non-specific, particularly in younger children. Urine collection and interpretation of urine tests in children are not easy and therefore it may not always be possible to unequivocally confirm the diagnosis.

Current management involving imaging, prophylaxis and prolonged follow-up has placed a heavy burden on NHS primary and secondary care resources. It is unpleasant for children and families, costly and based on limited evidence. The aim of this guideline is to lead to more consistent clinical practice by considering the importance of accurate diagnosis and the effectiveness of subsequent investigations and treatment (including surgical intervention) and follow-up in altering the outcome.

Contents

While every effort has been made to ensure the accuracy of the information contained within this publication, the publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check current indications and accuracy by consulting other pharmaceutical literature and following the guidelines laid down by the manufacturers of specific products and the relevant authorities in the country in which they are practising.

Copyright © 2007, National Collaborating Centre for Women’s and Children’s Health.

No part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK [www.cla.co.uk]. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

PMID: 21290637

NICE (National Institute for Health and Care Excellence)

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