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CG54 Migrated

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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)

    © NICE 2007. All rights reserved. Page 3 of 34

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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)

    © NICE 2007. All rights reserved. Page 4 of 34

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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)

    © NICE 2007. All rights reserved. Page 6 of 34

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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)

    © NICE 2007. All rights reserved. Page 7 of 34

    http://www.nice.org.uk/guidance/cg47http://www.nice.org.uk/guidance/cg47http://www.nice.org.uk/guidance/cg47http://www.nice.org.uk/guidance/cg47

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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)

    © NICE 2007. All rights reserved. Page 8 of 34

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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)

    © NICE 2007. All rights reserved. Page 9 of 34

    http://www.nice.org.uk/guidance/cg54/evidencehttp://www.nice.org.uk/guidance/cg54/evidence

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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)

    © NICE 2007. All rights reserved. Page 11 of 34

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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)

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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+

    .?..<

    ?@?..<

    0845 03 7780

     Acc*ed"a"&

    Urinary tract infection in under 16s: diagnosis and management (CG54)

    http://www.nice.org.uk/mailto:[email protected]://www.nice.org.uk/http://www.nice.org.uk/mailto:[email protected]://www.nice.org.uk/

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