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Pediatric Surgery International

Published in:

01-03-2013 | Original Article

NICE guidelines for imaging studies in children with UTI adequate only in boys under the age of 6 months

Authors: Marko Tapani Ristola, Timo Hurme

Published in: Pediatric Surgery International | Issue 3/2013

Abstract

Purpose

The purpose of this study was to evaluate the applicability of the National Institute for Health and Clinical Excellence (NICE) guidelines for imaging studies in children under the age of three with first urinary tract infection (UTI).

Methods

In our cohort of 112 patients, we gathered data regarding the occurrence of indications for ultrasonography (US) and voiding cystourethrography (VCUG) according to the NICE guidelines, dimercaptosuccinic acid (DMSA) scintigraphy examinations, UTI recurrence, antimicrobial prophylaxis (AMP), anti-reflux procedures, and other urological procedures.

Results

If the NICE guidelines had been applied, 13 of the 25 patients (52 %) with vesicoureteral reflux (VUR), including 6 of the 12 patients (50 %) with dilating VUR and 3 of the 4 patients who underwent endoscopic anti-reflux treatment, would have been missed, and a negative VCUG would have been avoided in 25 of the 42 patients (60 %) with no VUR. None of the missed diagnoses occurred in the younger boys’ group.

Conclusion

Based on these preliminary analyses, we feel that the NICE guidelines for imaging studies in children under 3 years old with UTI may be applicable to clinical use only in boys under 6 months of age. For other patients the guidelines were unsuccessful.

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Title: NICE guidelines for imaging studies in children with UTI adequate only in boys under the age of 6 months
Authors: Marko Tapani Ristola
Timo Hurme
Publication date: 01-03-2013
Publisher: Springer-Verlag
Published in: Pediatric Surgery International / Issue 3/2013
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-012-3257-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

NICE guidelines for imaging studies in children with UTI adequate only in boys under the age of 6 months

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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