Guidelines to identify abnormalities after childhood urinary tract infections: a prospective audit
| Autor: | Elizabeth W Hunter, Michael J Keir, Heather J Lambert, Susan J. Vernon, Malcolm G. Coulthard |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Urinary system Population Nice Primary care Sensitivity and Specificity Outcome Assessment Health Care Vesicoureteric reflux Humans Medicine Prospective Studies Child Radionuclide Imaging education Prospective cohort study computer.programming_language Vesico-Ureteral Reflux Medical Audit education.field_of_study business.industry Prospective audit Infant Guideline renal scarring Child Preschool Practice Guidelines as Topic Technetium Tc 99m Dimercaptosuccinic Acid Urinary Tract Infections Pediatrics Perinatology and Child Health Female Kidney Diseases Original Article Guideline Adherence Radiopharmaceuticals urinary tract infection business computer urinary tract imaging vesicoureteric reflux |
| Zdroj: | Archives of Disease in Childhood |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/archdischild-2013-304429 |
| Popis: | Objective To compare the childhood urinary tract infection (UTI) guidelines from the Royal College of Physicians (RCP) in 1991 and from National Institute of Health and Care Excellence (NICE) (CG54) in 2007 by measuring their efficiency at detecting urinary tract abnormalities. Design Children with UTIs within the Newcastle Primary Care Trust (population 70 800 children) were referred and imaged according to the RCP guidelines during 2008, and these were compared to the activity that would have been undertaken if we had implemented the CG54 guidelines, including following them through 2011 to identify those with recurrent UTIs. Main outcome measures The numbers of children imaged, the imaging burden and efficiency, and urinary tract abnormalities detected by each guideline. Results Fewer children would have been imaged by CG54 than RCP (150 vs 427), but its sensitivity was lower, at 44% for detecting scarring, 10% for identifying vesicoureteric reflux and 40% for other abnormalities. Overall, it would have only detected one-quarter of the abnormal cases (8 vs 32) and would have missed five of nine children with scarring, including three with multiple lesions and one with renal impairment. Imposing an age restriction of |
| Databáze: | OpenAIRE |
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