A SURVEY OF OFFICE MANAGEMENT OF URINARY TRACT INFECTIONS IN CHILDHOOD

[摘要] Responses to a written questionnaire by family physicians and pediatricians in private practice concerning their evaluation and management of suspected childhood urinary tract infections have been compared to the standards employed by a university pediatric department, which include documentation by culture, radiographic evaluation, and treatment. The survey reveals that 50% of physicians who responded made this diagnosis without cultures in the office setting. Criteria for ordering radiographic studies, choice of antibiotics, and indications for referral to a urologist differed from the standards. The implications of failure to discover correctable genitourinary abnormalities and of unnecessary drug or hospital utilization, and the place of peer review and continuing medical education in the private practice setting are discussed.

[学科分类] 儿科学