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If a living worm is put into the hand of a child before he is baptised, and kept there until the worm is dead, that child will have power in afterlife to cure all diseases to which children are subject.1 Not all of us will have had the foresight to do this so we need other systems to aid diagnosis and management of symptoms.
Pain, frequency, and symptoms of UTI are much easier when children can tell you, but the younger they are the more difficult it is to know … And what about when they can't communicate verbally at all and are non-specifically unwell?
NICE has issued new guidance on UTIs2 and pyrexia3 in children and it will affect how we manage and refer on. It's not exactly user-friendly when it comes to accessing information quickly in those bite-size consultations with ever increasingly complex content. Essential tips from the guidance that can be used quickly in practice are here with links to the relevant parts. NICE also has produced a parent's booklet — helpful to have up-to-date information to give to support the consultation.
NIPPAs (New Ideas in Paediatric Practice at Addenbrookes) is a group of Cambridge primary and secondary care clinicians working together to enhance pathways and provide leadership and knowledge dissemination.
Thanks to Addenbrookes postgraduate medical centre for advice, support and good humour.
More top tips can be found at: http://www.addenbrookes-pgmc.org.uk/handouts.asp?key=135