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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 new management guidelines to order imaging investigations for children with bacteriologically proven UTIs through the NP who was based in the nephrology department. The NP organised imaging, …
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