NICE guide hinders childhood UTI care

NICE childhood UTI guidelines will hinder GPs' attempts to diagnose UTIs, according to a leading consultant paediatric nephrologist.

Writing in the journal Archives of Disease in Childhood, Dr Malcolm Coulthard from the Royal Victoria Infirmary in Newcastle-upon-Tyne said that GPs were failing to diagnose at least three quarters of UTIs in infants.

'If most GPs continue only to recognise a quarter of infant UTIs, there is little chance of reducing scarring rates which can lead to reflux nephropathy,' said Dr Coulthard.

'NICE advice about which infants to investigate could have the unintended result of reducing the diagnosis rate further.'

Dr Coulthard believes that NICE should not be advocating the use of nitrite testing of urine as a diagnostic screen as it has a low sensitivity and would 'guarantee that half of all children with a UTI would be missed'.

To improve awareness and treatment of UTIs, GPs need to be supported by a specialist nurse service, Dr Coulthard said.

His own study results backed this conclusion, he added.

sanjay.tanday@haymarket.com

Comment below and tell us what you think 


Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Most GPs say scrapping revalidation and CQC checks would not affect patient safety

Most GPs say scrapping revalidation and CQC checks would not affect patient safety

Around two thirds of GPs say scrapping revalidation and CQC inspections would make...

PCNs offered funding to accelerate recruitment of social prescribers

PCNs offered funding to accelerate recruitment of social prescribers

Primary care networks (PCNs) have been offered funding in a bid to accelerate the...

GPs should not prescribe opioids, NSAIDs or paracetamol for chronic pain, says NICE

GPs should not prescribe opioids, NSAIDs or paracetamol for chronic pain, says NICE

GPs should not prescribe opioids, benzodiazepines, paracetamol or NSAIDs for chronic...

Coronavirus: Key guidance GPs need to know about COVID-19

Coronavirus: Key guidance GPs need to know about COVID-19

GPonline provides an overview of the key guidance relating to coronavirus, including...

GPs told to restore patient activity to pre-pandemic levels in new NHS England guidance

GPs told to restore patient activity to pre-pandemic levels in new NHS England guidance

GP practices have been instructed to increase activity, 'make rapid progress' on...

How to deal with patient requests for face covering exemption letters

How to deal with patient requests for face covering exemption letters

MDU medico-legal adviser Dr Ellie Mein provides advice for GPs on dealing with patients...