Evaluation of a service development to increase detection of urinary tract infections in children.

Abstract:

RATIONALE, AIMS AND OBJECTIVES:It is suspected that childhood urinary tract infection (UTI) remains under-diagnosed in primary care, and is consequently the cause of subsequent morbidity from renal scarring, hypertension and eventual renal failure. Practice-based education and service developments were undertaken to try to improve the detection of childhood UTI. METHODS:A controlled before-and-after intervention study was conducted. The educational and service developments promoted awareness of and greater testing for UTI among children less than two years of age presenting with febrile illness or other potentially relevant symptoms or signs. Appropriate diagnostic equipment was provided. RESULTS AND CONCLUSIONS:More urine samples were sent by the intervention practices but without a concomitant increase in detection of UTIs. This may indicate that current practice is approaching near maximal detection of UTI in young children.

journal_name

J Eval Clin Pract

authors

Cunningham AM,Edwards A,Jones KV,Bourdeaux K,Willock J,Barnes R

doi

10.1111/j.1365-2753.2004.00507.x

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

73-6

issue

1

eissn

1356-1294

issn

1365-2753

pii

JEP507

journal_volume

11

pub_type

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