Shared learning database
Type and Title of Submission
Implementation of NICE CG 54:UTIDescription:
Local implementation of NICE CG 54 : UTICategory:
ClinicalDoes the submission relate to the general implementation of all NICE guidance?
NoDoes the submission relate to the implementation of a specific piece of NICE guidance?
YesFull title of NICE guidance:
CG54 - Urinary tract infection in childrenCategory(s) that most closely reflects the nature of the submission:
Description of submission
To implement NICE Clinical Guideline 54: Diagnosis, treatment and long-term management of UTI in childrenObjectives
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 evidenceContext
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 NICEKey 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
|Job Title:||National Guidance Facilitator|
|Organisation:||Cwm Taf NHS Trust|
|Address:||Prince Charles Hospital|
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This page was last updated: 28 September 2009