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Re: Another question for NICE on UTI Guide?

I read with interest this latest paper questioning the recommendation from NICE about the management of UTI in children. While the need for evidence is crucial to informed practice it is not always the case that in all medical conditions that this level is reached. Consensus therefore can be arrived at after a thorough review of good practice by eminent practitioners in the field. I have no doubt that the respected members of NICE that came up with the recommendations were following this age long medical way of doing things. In my practice as a general paediatrician, I have had the 'piviledge' of using different guidelines on this subject (Radiologists,College of Paediatrics,College of Physicians & Nephrologists) to name a few.

I can therefore see the need for NICE to start the process of bringing in something that could at least simplify the patient journey.

I welcome this information from NewCastle which I believe will go a long way in providing useful evidence to be used by NICE to review its recommendation in due course.I wonder if the authors found any correlation between systemic symptoms/increased inflammatory markers and renal scarring.

The NICE guide helps to focus minds and opens the debate on the need by all to provide the neccessary evidence to support ongoing and future practice.