A nurse led education and direct access service for the management of urinary tract infections in children: prospective controlled trial.

ABSTRACT:

Objectives

To determine whether a nurse led education and direct access service improves the care of children with urinary tract infections.

Design

Prospective cluster randomised trial.

Setting

General practitioners in the catchment area of a UK paediatric nephrology department.

Participants

88 general practices (346 general practitioners, 107 000 children).

Main outcome measures

Rate and quality of diagnosis of urinary tract infection, use of prophylactic antibiotics, convenience for families, and the number of infants with vesicoureteric reflux in whom renal scarring may have been prevented.

Results

The study practices diagnosed twice as many urinary tract infections as the control practices (6.42 v 3.45/1000 children/year; ratio 1.86, 95% confi

SUBMITTER: Coulthard MG 

PROVIDER: S-EPMC196395 | biostudies-literature | 2003 Sep

REPOSITORIES: biostudies-literature