DHSC gives go ahead for boys to receive HPV vaccine

DHSC gives go ahead for boys to receive HPV vaccine

July 27 2018 Adolescent boys will be offered the human papilloma virus (HPV) vaccine to protect...

Home Office gives go ahead to allow cannabis-derived products on prescription

Home Office gives go ahead to allow cannabis-derived products on prescription

July 27 2018 Certain cannabis-derived products will be reclassified as Class 2 medicinal...

New law strengthens punishment for assaulting health sector workers

New law strengthens punishment for assaulting health sector workers

July 27 2018 A new law will increase the possible sentencing of someone who commits common...

Asthma deaths levels increase by a quarter in a decade

Asthma deaths levels increase by a quarter in a decade

July 26 2018 There were 1,320 deaths due to asthma in England and Wales in 2017, the highest...

Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

July 24 2018 New Health Secretary Matt Hancock has called for investment in primary care and...

  • DHSC gives go ahead for boys to receive HPV vaccine

    DHSC gives go ahead for boys to receive HPV vaccine

    Friday, 27 July 2018 16:22
  • Home Office gives go ahead to allow cannabis-derived products on prescription

    Home Office gives go ahead to allow cannabis-derived products on prescription

    Friday, 27 July 2018 16:19
  • New law strengthens punishment for assaulting health sector workers

    New law strengthens punishment for assaulting health sector workers

    Friday, 27 July 2018 16:16
  • Asthma deaths levels increase by a quarter in a decade

    Asthma deaths levels increase by a quarter in a decade

    Thursday, 26 July 2018 15:29
  • Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

    Pharmacy bodies welcome Health Secretary’s pledge to invest in community pharmacy

    Tuesday, 24 July 2018 13:07

a urine analysis imageOctober 3 2017

Health professionals should use a dipstick urine test to decide whether antibiotics are needed for urinary tract infections in children, NICE has said.

 Updating its clinical guidelines CG 54, ‘Urinary tract infection in under 16s: diagnosis and management’, NICE has added information around testing, including to:

  • refer all infants under 3 months with a suspected UTI to paediatric specialist care, and send a urine sample for urgent microscopy and culture;
  • use dipstick testing for infants and children 3 months or older but younger than 3 years with suspected UTI.

It also wants urine samples to be sent for culture in:

  • infants and children who are suspected to have acute pyelonephritis/upper urinary tract infection;
  • infants and children with a high to intermediate risk of serious illness;
  • infants under 3 months;
  • infants and children with a positive result for leukocyte esterase or nitrite;
  • infants and children with recurrent UTI;
  • infants and children with an infection that does not respond to treatment within 24–48 hours, if no sample has already been sent;
  • cases where clinical symptoms and dipstick tests do not correlate.

“A dipstick test offers a quick and painless way to check a child’s urine for signs that their body is fighting an infection,” says NICE. “Children between the age of three months and three years should not be given antibiotics if their dipstick test is negative. Children over the age of three years may need to be given antibiotics if their urine dipstick analysis shows mixed results and they have other obvious symptoms of a UTI (for example painful urination).”

Links:
NICE announcement      
NICE Clinical guideline [CG54] ‘Urinary tract infection in under 16s: diagnosis and management’

Professional News

July 27 2018 Adolescent boys will be offered the human papilloma virus (HPV) vaccine to protect them from cancer, the Department of Health and Social Care has announced.
July 20 2018 Doctors are being reminded to ensure that any patient or other records which may be relevant to the UK Infected Blood Inquiry are not destroyed. Earlier this month, the Inquiry’s Chair, Sir...