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  • Nurse led education plus direct access to imaging improved diagnosis and management of urinary tract infections in children

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Nurse led education plus direct access to imaging improved diagnosis and management of urinary tract infections in children

https://doi.org/10.1136/ebn.7.3.73

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    Coulthard MG, Vernon SJ, Lambert HJ, et al. A nurse led education and direct access service for the management of urinary tract infections in children: prospective controlled trial. BMJ 2003;327:656–9.OpenUrlAbstract/FREE Full Text

    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

    Embedded ImageDesign:

    cluster randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}*.

    Embedded ImageBlinding:

    unblinded.

    Embedded ImageFollow up period:

    mean 20 months.

    Embedded ImageSetting:

    88 general practices in a paediatric nephrology secondary catchment area in the UK.

    Embedded ImageParticipants:

    107 100 children who were followed up for incidence of UTIs.

    Embedded ImageIntervention:

    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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    Footnotes

    • ↵* Information provided by author.

    • For correspondence: Dr M G Coulthard, Royal Victoria Infirmary, Newcastle upon Tyne, UK. malcolm.coulthardnuth.northy.nhs.uk

    • Sources of funding: Newcastle and North Tyneside Health Authority trust funds; Northern Counties Kidney Research Fund; British Kidney Patient Association; and Royal Victoria Infirmary Children’s Kidney Fund.