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NICE guidance on urinary tract infection in children abandons routine antibiotic prophylaxis
  1. Kati Hajibagheri1,
  2. Max Priesemann2,
  3. Ian Morrison2,
  4. Ami Parikh2,
  5. Nick Lessof3,
  6. Elizabeth Price4
  1. 1
    Department of Paediatrics, Northwick Park Hospital, London, UK
  2. 2
    Department of Paediatrics, Royal London Hospital, London, UK
  3. 3
    Department of Paediatrics, Homerton University Hospital, London, UK
  4. 4
    Department of Medical Microbiology, Royal London Hospital, London, UK
  1. Kati Hajibagheri, Department of Paediatrics, Northwick Park Hospital, Watford Road, London, UK; kati.h{at}doctors.org.uk

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We welcome the recommendation to discontinue routine antibiotic prophylaxis in paediatric urinary tract infection, as mentioned in a review of the National Institute of Health and Clinical Excellence (NICE) guidance on this subject.1 In one of our East London paediatric accident and emergency departments, the incidence of trimethoprim resistance in urinary infections increased from 30% in 1999/2000 to over 40% in 2006/7. This is in line with an increase from 24% in 1996 to 31.6% in 2000 from another London hospital.2 As for adults, it can be queried whether …

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