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Research Article

Should GPs have direct access to imaging for children with urinary tract infections? An observational study.

A F Polmear, I J Kenney and S A Barnard
British Journal of General Practice 1999; 49 (439): 115-117.
A F Polmear
Academic Unit of Primary Care, Trafford Centre for Medical Education and Research, University of Sussex, Brighton.
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I J Kenney
Academic Unit of Primary Care, Trafford Centre for Medical Education and Research, University of Sussex, Brighton.
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S A Barnard
Academic Unit of Primary Care, Trafford Centre for Medical Education and Research, University of Sussex, Brighton.
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Abstract

BACKGROUND: All children with urinary tract infections (UTIs) should undergo imaging of the urinary tract. The Royal College of Radiologists currently recommends that such children should be referred to a paediatric specialist prior to imaging. AIM: To investigate whether direct referral of such children by general practitioners (GPs) for imaging offers advantages over the traditional approach. METHOD: Information on 100 children with UTIs, who were referred direct for imaging by GPs according to an agreed protocol, was compared with information on 100 children with UTIs referred initially to paediatric specialists. RESULTS: Protocol-guided direct referral resulted in less delay prior to imaging, no evidence of inappropriate referral (as judged by urinalysis and yield from imaging), greater consistency of follow-up arrangements, and a considerable saving in outpatient department (OPD) appointments. There was no increase in the overall number of referrals for imaging. CONCLUSION: Given agreed protocols, there is no basis for current recommendations that GPs should not refer children with UTIs for imaging without a prior paediatric opinion.

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British Journal of General Practice: 49 (439)
British Journal of General Practice
Vol. 49, Issue 439
February 1999
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Should GPs have direct access to imaging for children with urinary tract infections? An observational study.
A F Polmear, I J Kenney, S A Barnard
British Journal of General Practice 1999; 49 (439): 115-117.

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Should GPs have direct access to imaging for children with urinary tract infections? An observational study.
A F Polmear, I J Kenney, S A Barnard
British Journal of General Practice 1999; 49 (439): 115-117.
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Print ISSN: 0960-1643
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