Management of culture positive urinary tract infections in children aged 0-16 years; An audit conducted in a District General Hospital in the United Kingdom

Abstract

Attached

B ackground: Urinary tract infection (UTI) is common among children. Management o f UTI requires prompt diagnosis, treatment and most often, a regular follow up. Objectives: To evaluate compliance with the NICE guidelines 2007 when managing children aged 0 to 16 years with bacteriologically proven UTI in a District General Hospital. M ethod: A descriptive retrospective study was carried out at Bronglais General Hospital, Aberystwyth, United Kingdom (UK) on children aged 0 to 16 years with culture positive UTI from l 8t January 2012 to 31st December 2014. Infants and children with urinary catheters in situ, pre-existing renal disorders and immune-suppression were excluded from the study. Patients were grouped into age categories to facilitate comparison of treatment and radiological investigations. Further categorisation was done according to NICE guidelines for UTI in children. Approval for the conduct o f the audit was given by the Clinical Audit Department, Bronglais Hospital, UK. Ethical clearance for the study was obtained from the Ethical Review Committee o f the Sri Lanka College o f Paediatricians