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

UK COVID-19 vaccination programme tracker

UK COVID-19 vaccination programme tracker

GPs across the UK are playing a leading role in the largest-ever NHS vaccination...

BMA suspends GP committee election to investigate potential rule breach

BMA suspends GP committee election to investigate potential rule breach

The BMA has suspended voting in part of its GP committee election as it investigates...

Thousands of overseas GPs recognised for 'extraordinary contribution' to NHS

Thousands of overseas GPs recognised for 'extraordinary contribution' to NHS

GP leaders have recognised the extraordinary contribution of thousands of overseas-qualified...

GPs report concerns over BMA GP committee elections

GPs report concerns over BMA GP committee elections

Elections for nearly one in four regional BMA GP committee seats are underway, but...

UK hits 1m second doses of COVID-19 vaccine as campaign shifts to next phase

UK hits 1m second doses of COVID-19 vaccine as campaign shifts to next phase

More than 1m people UK-wide have now had two doses of COVID-19 vaccine, official...

What GPs need to know about the GMC's new guidance on prescribing

What GPs need to know about the GMC's new guidance on prescribing

MDU medico-legal adviser Kathryn Leask explains the key issues GPs need to be aware...