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?J ?J ?? ? ? 16: ?? ? ? 16:? ? ??? ? ??
C=?= =?
=: 22 A 2007
?..
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C??C??
?? ........................................................................................................................................................................ 4
C=-? ............................................................................................................................................................ 5
"J =??.............................................................................................................................. 6
1 G? ........................................................................................................................................................................... 9
1.1 D?.................................................................................................................................................................................... 9
1.2 A ??................................................................................................................................................................ 15
1.3 ? ............................................................................................................................................................................. 17
1.4 *= ???............................................................................................................................................................. 20
1.5 F==- ................................................................................................................................................................................... 21
1.6 ?? ? =?, J? = ? ? ...................................................... 21
2 % ? ? ....................................................................................................................... 23
3 =?? ? %H*....................................................................................................................................... 24
4 ?? ..................................................................................................................................... 25
4.1 D?.................................................................................................................................................................................... 25
4.2 A? J=I........................................................................................................................................................... 25
4.3 *= ???............................................................................................................................................................. 26
4.4 #?-
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A =? ......................................................................................................................................................... 33
Urinary tract infection in under 16s: diagnosis and management (CG54)
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+ =? *36 ? *64.
????
? 30N50 J, ?= J ?J ?? (+) ? =? ?
= ?? ? ? ? ? =. + ?
? ??J ? J ? + ?
=?, ? ? ?? ? ==- O.
+ ? = ?? ? ==? ? ?? ? =?. J O=
? + ? =? ?? J ? ? ??-O, ==J? ?? ? =? J? ? 3 J. C==? ? ? ?? = ? J
? , J ? =J = ?==J ?O ?.
C? ??, ?= ?, J=I ? =? ==-, =
J ? ? %H* J ? ?J . =J, ? = ?
? ?=? =? ? ? ? . + =?
?? =?= , ? ? ?
??.
Urinary tract infection in under 16s: diagnosis and management (CG54)
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C=-? C=-?
+ =? ? ??, =? ? J? = J?
? 16 J +.
+? ? =
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""J =??J =??
*J ? ?*J ? ?
?? ? =? ?? ?I=? 38MC = ?
= 24 =.
?? ? =? J ? ? ?J ?? (+) =
? = ??. += 1 J ? ?
?? ? =? ? .
? ==?? ==?
A =? ? = ? ? ==?. =?
? = ??=:
??-? ? ==? = .
? == ?' ?? ? ? ? ==? .
C? = ==, K ? ?J = = ? == ? ?
?? ? =?.
? ? = = == ? J ??-? ,
= ? (*A) = .
B *A , =? ? = ?
? ? ? =.
? ?? ?
+ ?-? ? ? = 2N5 ?.1
HJ ? HJ ? I?? ? ?O +I?? ? ?O +
+ ==? < + ? ?=J? =J = :
? P
J ? + ?O +
? ?? ?
??==J-? ?= ?=J
Urinary tract infection in under 16s: diagnosis and management (CG54)
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=J J PI () ?=
??
J??= ?
?= =
?=
? ?= =?
= .
A ??A ??
?? J? ? 3 ? = + = =J
=. +? = ?= ? ? =? F
==? ? =?(%CE =?= =? 47).
F ?? ? =? 3 ? = J=?/ ?J
??:
? = =
= ? 7N10 J. + ? = ? =
? ? ?, I= =? -I=
= ? ?? , ? ?? () ? ?
I I? 2N4 J == J = ? = ?
10 J.
F ?? ? =? 3 ? = J/= ?J ??:
= ? 3 J. + ? = J
===J = ==?J ?. +, ???,
=? I==? J =
? = ? ?? = ?
?? = == ?== 24N48 . ? =? ? ?
Urinary tract infection in under 16s: diagnosis and management (CG54)
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, ? = = ? = ?J ? ?
? ? ?J ? = ? =J ? .
A? A? J=IJ=I
A? J=I = ? ?=J ? ? ?? ? =? ==?
O- +.
? ?
?? ? =? + = =? ? = 6, 7 ? 8.
1
A < ==? ? =? F ==? ? =? (%CE =?= =? 47) ? ? ? ??, ? ? =' ?
< ==?.
Urinary tract infection in under 16s: diagnosis and management (CG54)
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11 G?G?
+ ==? ? ? == ?. + == =? =
? ? = ? ( ? 5 =).
1.1 D"a&+"+
1.1.11.1.1 *J ? ?*J ? ?
1.1.1.1 ?? ? =? ?? ?I=? 38MC =
? = 24 =.
1.1.1.2 ?? ? =? ? =? ?? = ? ?= . ? ?? ? =? ? =? ??
? ?==, ? ? = ? 24 =.
1.1.1.3 ?? ? =? J ? ? ?J
?? (+) = ? = ??. += 1
J ? ? ?? ? =? ? .
++= 1 ?? J ? ? ? ?? ? =? += 1 ?? J ? ? ? ?? ? =? +
A A *J ? ?*J ? ?
$ ? ------------------> # ?
?? J?? J? ? 3? ? 3 ?? F
?
#J
=J
?
F=
A?=
?
!?
H?
?
Urinary tract infection in under 16s: diagnosis and management (CG54)
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== F A?= ?
#? ??
?
?
#J
=J
H
?
?
F=
?? ? =?, 3?? ? =?, 3 ? ?
==
== F?J
DJ
DJ??=
?
C?
???A?= ?
#? ??
F
$=
?
H
?
?
C=J ?
1.1.21.1.2 A? < ==?A? < ==?
1.1.2.1 + ==? == ? ?? ? =? = ? ?
?? ? F ==? ? =? (%CE =?= =? 47).
1.1.31.1.3 ? ==?? ==?
1.1.3.1 A =? ? = ? ? ==?.
=? ? = ??=:
??-? ? ==? = .
? == ?' ?? ? ? ? ==? .C? = ==, K ? ?J = = ? == ? ?
?? ? =?.
? ? = = == ? J ??-? ,
= ? (*A) = .
B *A , =? ? = ?
? ? ? =.
Urinary tract infection in under 16s: diagnosis and management (CG54)
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1.1.3.2 ? ? ?? = < ==? =J =
? = ?; , ? = ? =J ?
= ??=.
1.1.41.1.4 ? ?? ?
1.1.4.1 ? = ?? = ? 4 ==?,
= = =J.
1.1.4.2 + ?' ?? = == ?
? ? = ?= IJ ?
? ?.
1.1.51.1.5 ? ?? ?
1.1.5.1 + ?-? ? ? = 2N5 ?.2
A+ /"! a$$ d"a&+"c e++ !e*e /"$$ be a +%a$$ &%be* f fa$+e &ea"e *e+$+; !e*ef*e c$"&"c"a&+ +!$d
+e c$"&"ca$ c*"e*"a f* !e"* dec"+"&+ "& ca+e+ /!e*e *"&e e+"& de+ & +* !e &d"&+.
++= 2 ?-? = 2 ?-? J ?? JJ ?? J? ? 3? ? 3 ??
A== ?? J? ? 3 ? + ( = 1) =
= ? ? = = ? ? J ? =.
+ ?? = ? ? ? ??
? F ==? ? =? (%CE =?= =? 47).
++= 3 ?-? = 3 ?-? ?? ? =? 3 ?? ? =? 3 ? = J? = J? ? 3? ? 3 JJ
? J ? = ?? + ? ;
= =.
?? ??
= =
OO
?J?J
JJ
? J ? = = ? ? ? ?
= .
? ? J ? ==, ? = = ?
J ? =, ? ? ? = .
Urinary tract infection in under 16s: diagnosis and management (CG54)
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JJ
??- ??-
O O
++
F ? ?? = < ==?: ?? = =
?=J = ? = =
? ? J ? =. * ?? ? =? =
? ? =? F ==? ? =? (%CE =?= =? 47).
F ? ?? = ? ? < ==?: ?
?, ?? = J ?=J =.
F ?? ? =? ? = =,
? J ? = = ?. A? ? =
J ( = 5). ? ? J ?
==, < ? J . + ? ?
=J ?? ? ? ? =
( = 4). ? == , ? = = ? J ?=.
F ? ?? = = < ==?: J ? =
= ?. A? ? = ?=J J
= .
++= 4 ?-? = 4 ?-? =? 3 =? 3 JJ = =
D< ? =
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=
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? =?= J ? < ? =.
1.1.71.1.7 HJ ? HJ ? I?? ? ?O +I?? ? ?O +
1.1.7.1 + ==? < + ? ?=J? =J = :
? P
J ? + ?O +
? ?? ?
??==J-? ?= ?=J
=J J PI () ?=
??
J??= ?
?= =
?=
? ?= =?
= .
1.1.81.1.8 C=?= ?? ? C=?= ?? ? JJ=?/ ?J =?/ ?J
?? ? J/= ?J ?? ? J/= ?J ?? ??
1.1.8.1 ?? ? =? ? 38MC =
? J=?/ ?J ??. ??
? =? ?? = ? 38MC =? ?/??
? = = ? J=?/
?J ??. A== ?? ? =?
? J J ? = ? J/=
?J ??.
Urinary tract infection in under 16s: diagnosis and management (CG54)
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1.1.91.1.9 ##J ==? +J ==? +
1.1.9.1 C- ? =? = ? ?
J=?/ ?J ?? J/= ?J
?? ? ?? ? =?.
1.1.101.1.10 ? ==? +? ==? +
1.1.10.1 + ? ? ? ==? + ? ?.
1.1.10.2 ? ?? ? =?==J ? ?O I=
J=?/ ?J ??, D= =?
?. ? ? == ? == ??
?O, ? (D$*A) ?J ?
?.
1.2 Ace %a&ae%e&
Ne !a !e a&"b""c *e"*e%e&+ f* "&fa&+ a&d c!"$d*e& /"! c&d""&+ !a a*e +"de !e +ce f
!"+ "de$"&e (f* e0a%$e, "&fa&+ a&d c!"$d*e& a$*ead #&/& !ae +"&"ca& *e-e0"+"& *a!"e+)
!ae & bee& add*e++ed a&d %a be d"ffe*e& f*% !+e "e& !e*e.
1.2.1.1 ?? ? =? < ==? =
?=J =.
1.2.1.2 ?? J? ? 3 ? = + =
=J =. +? =
?= ? ? =? F ==? ? =? (%CE =?=
=? 47).
1.2.1.3 F ?? ? =? 3 ? = J=?/
?J ??:
? = =
= ? 7N10 J. + ? = ? =
? ? ?, I= =? -I=
Urinary tract infection in under 16s: diagnosis and management (CG54)
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= ? ?? , ? ?? () ? ?
I I? 2N4 J == J = ? = ?
10 J.
1.2.1.4 F ?? ? =? 3 ? = J/= ?J ??:
= ? 3 J. + ? = J
===J = ==?J ?. +, ???,
=? I==? J =.
? = ? ?? = ?
?? = == ?== 24N48 . ? =? ? ?
, ? = = ? = ?J ?
? ? ? ?J ? = ? =J ? .
1.2.1.5 F ?? ? =? ?=J (??
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1.2.2.3 C=? + = J =? = ?
? = ? I =J ?.
1.2.31.2.3 A? A? J=IJ=I
1.2.3.1 A? J=I = ? ?=J ? ? ?? ?
=? ==? O- +.
1.2.3.2 A? J=I J ? ? ?? ? =? ?
+.
1.2.3.3 AJ ? ?? ? =? = ?
J= ?.
1.3 I%a"& e++
1.3.1.1 ?? ? =? J= + ( I 1) = =?
?J ? ?? ?J = ?=
?J ?, =? ? = 6, 7 ? 8. +
? ??.
1.3.1.2 F ?? J? ? 6 ? O- + ?
?, =? = ? 6
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1.3.1.7 ? ? ?J ? ? ?? ? =?
+, I ? O ?, =? ? = 6, 7
? 8.
1.3.1.8 ? ? J ($CG) , J=
? = ? ==J 3 J $CG
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* I 1 O??
=? ? =-? =? = == = ?
= = ? ?.
? = ??-E. c$"-+, ?? == ? ? ? J= ??, =? ? ? ??-?
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1.5 F$$/-
1.5.1.1 ?? ? =? ? ? ? ?? = ?
?=J == .
1.5.1.2 + J ? = ? == ? =
? J? ? .
1.5.1.3 ? = ?=, ==- ? ?? ? ?=J
. ? = ? = ==
?? ? ?.
1.5.1.4 ?? ? =? ? + ?= ? = = J =.
1.5.1.5 A? ?? ? =? ?= ?J= =
?= , , = ? ? ? ?.
1.5.1.6 ?? ? =? ?, ?== ?= ?J= ?
? =?- ==- ?= J ? + =J J
=J= < J??.
1.5.1.7 ?? ? =? == ?= ?=,
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=? ?J ? ? ?? ?
= =?- ??.
1.6.1.2 H= ?= = ? =? ? J? =, ?
? , =J +
? ? ?? ? =? ? < ?
= ?= ?J ??.
1.6.1.3 H= ?= = =? ? J? = ?/
? ? ?? ?:
?? J
? ==?, ? ?
? ?
??
? ? ? ?J ?J ??
?
? ? ?? =?- ?? .
2A < ==? ? =? F ==? ? =? (%CE =?= =? 47)
? ? ? ??, ? ? =' ?
< ==?.
Urinary tract infection in under 16s: diagnosis and management (CG54)
© NICE 2007. All rights reserved. Page 22 of 34
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22 % ? ?% ? ?
%CE =? = ? ? O? =? == ?
== ? .
+ =? ? = ? ? ? = + ?
?? ? =? 16 J, ?=?: ? ? ?
+ ? < ?/ J ?? ? =? =J =J; ?
==? ? + ? ?? ? =?; = I= +;
?, ?=? J ??; J= ? ? ??
? ?? ?J ; = ?J ? J ;
= ???; =?- ==-; ? ? , ?=?
? + .
A ? J =? ?= =? ?J ? , =?
?? =, =? =J
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33 =?? ? %H*=?? ? %H*
+ H= C? ? %H* ?? ? ? ?
=?= ? J D? H= ? '*? =', ?
!=J 2004. =?? =?= =? =?= ? D2.
C ? C5 J ??= ? =
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44 ?? ??
+ G=? D=? G ==? ?? ,
? ?, %CE ? ? ? ? . + G=?
D=? G' == ?? = ? == =? (
? 5).
4.1 D"a&+"+
F ?? =
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=J ?. J= ? ? ? ?
J ? =. H, ? ? ? ?
?= == =? =. F= =? J=
? ? ? ? J ? ? ? + =
? ?=J ?, = ? ?? ?.
4.3 S*"ca$ "&e*e&"&
==-? ? =-?== = ? ?
J=I = ?? ? ?? ? +
?= ?J= .
J ?J ?
$?? =? ? + ? ? ?
?? + ?/ ?= ?J= J J J=I ?
?? ?= ? ? J ?? =J ? J . ?
?, ? ? =? ? ?==J ? J ?
? ==J ? ? ? =?? . * ?
??? ?= ? = ?O J ?
?? ? J ?? ? ?= .
4.4 L&-e*% *"+#
A == ? J ?? =?- ?=? ?= ? ? ?=
?? =? + = ? ? ".
J ?J ?
+ ? ? J? =? ? ? ??= ?
?= . ? == ? ? =?
? ? +. *? ? J??, ?,
=? ? ??J ? ? = ?= = (EF). +
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55 ? =?? =?
5.1 F$$ "de$"&e
+ == =?, ?J ??: ?, ? ? =?- ??
?J ?? ? =?, ?? = ? ? =
=?. = J %?= C==? C? ?' ? C=?' H=.
5.2 I&f*%a"& f* !e b$"c
%CE ?? = I=?? =?.
? %H* ? =?J ?? I ?? ?
? =.
Urinary tract infection in under 16s: diagnosis and management (CG54)
© NICE 2007. All rights reserved. Page 27 of 34
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66 = %CE ?= %CE ?
F ==? ? =?: ? ? ?= ?? ? =? J? ? 5 J.
%CE =?= =? 47 (2007).
Urinary tract infection in under 16s: diagnosis and management (CG54)
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77 ? =?? =?
%CE =?= =? ? ??
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A?I A: + G=? DA?I A: + G=? D=? G=? G
" " !? !?
? C= H=, (G=? D=? G =), ?J H=
=, C
!!J B?J B?
C?=? ? A= ? E?J $?, ?J H= # %H*
+
*-A?? BJ*-A?? BJ
C?=? =, * G H=, #??
DD G G
C?=? =, ? B= H= %H* +
##JJ ! !
C?=? ?, G= H= F?? %H* +
! #! #
G?= ?, *O=
!= $!= $
?/ ?
!? *?!? *?
=J *= %, # J= ?OJ
"== +"== +====
C?=? %=, G ? * H=
* * ????
*? %, + D A *, * ! *? ? C= H=
?J %= ? J= ?OJ
CC == ==
C?=? $=, J= H= *< C=?, G=
Urinary tract infection in under 16s: diagnosis and management (CG54)
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Na"&a$ C$$ab*a"& Ce&*e f* W%e&'+ a&d C!"$d*e&'+ Hea$! +aff
$? #
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A?I B: + G=? A?I B: + G=? ?=?=
+ G=? ?= ? ??? ?= =?
=? ?
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A =?A =?
%CE =?= =? ?? ? ? = O
? ?? ? %H* ? E?=? ? =.
+ =? = J %?= C==? C? ? ? C=?'
H=. + C==? C?
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L %?= ? H= ? C=?= EI==? 2007. A== . %CE J
= ? ?= ? J, ? J ?=
? ?--O . % ? J = ??,
= , == ? ? %CE.
C? %CEC? %CE
%?= ? H= ? C=?= EI==?
#= 1A, CJ +, ==J =K, $? $1 4B+
.?..<
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0845 03 7780
Acc*ed"a"&
Urinary tract infection in under 16s: diagnosis and management (CG54)
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