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Type and Title of Submission


Title:

Implementation of NICE CG 54:UTI

Description:

Local implementation of NICE CG 54 : UTI

Category:

Clinical

Does the submission relate to the general implementation of all NICE guidance?

No

Does the submission relate to the implementation of a specific piece of NICE guidance?

Yes

Full title of NICE guidance:

CG54 - Urinary tract infection in children

Category(s) that most closely reflects the nature of the submission:

Implementation policy

Is the submission industry-sponsored in any way?

No


Description of submission


Aim

To implement NICE Clinical Guideline 54: Diagnosis, treatment and long-term management of UTI in children

Objectives

The main objective of this piece of improvement work is to implement NICE Clinical Guideline 54 and to: - Identify the local, clinical and financial implications of CG 54 - Assess the current/baseline provision of care against the standards set out in CG 54 - To implement CG 54 locally to ensure that the service provided is based on the best evidence

Context

In August 2007 guidelines were published by the National Institute for Health and Clinical Excellence regarding the management of UTI in Children. The Trust's Ten step NICE Implementation process was systematically applied to this piece of NICE Guidance (Annexure 1) and an Implementation Steering Group was formed to implement the guidance.

Methods

Baseline audit results identified that most of the guidance was not being followed. There was a need to ensure compliance in the areas of: Urine collection; preservation and urine testing strategy. Clearer documentation was required for sending for culture; risk factors for UTI; type of UTI; duration of antibiotic treatment and arrangement of appropriate imaging according to the age of child and UTI type. Since the baseline audit, a new policy on the management of UTI based on the NICE Guidance was established. To ensure the new guidance was promoted amongst healthcare professionals attractive posters outlining NICE guidelines (Annexure 2) were clearly displayed in clinical areas within the Paediatric Department, A&E department and the Community Hospital.

Results and evaluation

Re-audit occurs through the Paediatric Clinical Audit Programme; which continues to demonstrate year on year improvement in compliance with NICE

Key learning points

- Keep the implementation process as simple as possible - Involve all key stakeholders at the outset (primary and secondary care) - Education, training and continuing professional development have been crucial elements of successful elements

View the supporting material

Contact Details

Name:Leanne Cunningham
Job Title:National Guidance Facilitator
Organisation:Cwm Taf NHS Trust
Address:Prince Charles Hospital
Town:Merthyr Tydfil
Postcode:CF47 9DT
Phone:01685 728159
Email:Leanne.cunningham@wales.nhs.uk

 

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This page was last updated: 28 September 2009

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.