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

Cunningham, Anne Marie, Edwards, Adrian G. ORCID: https://orcid.org/0000-0002-6228-4446, Verrier-Jones, Kate, Bourdeaux, Kate, Willock, Jane and Barnes, Rosemary Ann 2005. Evaluation of a service development to increase detection of urinary tract infections in children. Journal of Evaluation in Clinical Practice 11 (1) , pp. 73-76. 10.1111/j.1365-2753.2004.00507.x

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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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General) R Medicine > RJ Pediatrics
Uncontrolled Keywords:	childhood urinary tract infection; general practice/family practice; guidelines; service development
Publisher:	Wiley-Blackwell
ISSN:	1356-1294
Last Modified:	21 Oct 2022 10:06
URI:	https://orca.cardiff.ac.uk/id/eprint/39024

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