PT  - JOURNAL ARTICLE
AU  - Polmear, A F
AU  - Kenney, I J
AU  - Barnard, S A
TI  - Should GPs have direct access to imaging for children with urinary tract infections? An observational study.
DP  - 1999 Feb 01
TA  - British Journal of General Practice
PG  - 115--117
VI  - 49
IP  - 439
4099  - http://bjgp.org/content/49/439/115.short
4100  - http://bjgp.org/content/49/439/115.full
SO  - Br J Gen Pract1999 Feb 01; 49
AB  - 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.