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Q In general practice, does nurse practitioner (NP) led education plus direct access to imaging improve diagnosis and management of urinary tract infections (UTIs) in children?
METHODS
Design:
cluster randomised controlled trial.
Allocation:
{concealed}*.
Blinding:
unblinded.
Follow up period:
mean 20 months.
Setting:
88 general practices in a paediatric nephrology secondary catchment area in the UK.
Participants:
107 100 children who were followed up for incidence of UTIs.
Intervention:
44 general practices were allocated to a NP led intervention (NLI) (n = 55 800 children and 185 physicians) and 44 to usual care (UC) (n = 51 300 children and 161 physicians). Physicians in the NLI group were educated about the study and new management guidelines. Physicians used the …
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