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Common sense at last—investigating urinary tract infections

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The management of urinary tract infections (UTI) in children has been full of controversy and disagreement. The Archivist remembers the days of the requirements of two micturating cystourethrograms, abdominal X-rays, sometimes intravenous urograms, isotope scanning of the renal tract and recurrent ultrasound of kidney requests. Following up children with 3 monthly urine sample (often by bag urine sample), prophylactic antibiotics up to the age of 5 years of age and the occasional bilateral re-implantation of ureters was the practice of the day. We were in fear that vesico-uroteric reflux (VUR) with recurrent UTIs predisposed to long-term renal disease. The NICE guidelines, …

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