Research co-led by Professor Chris Butler, Professorial Fellow in Primary Healthcare, has been recognised with a category prize at the recent Royal College of General Practitioners (RCGP) Research Paper of the Year awards.
The research highlights an urgent need for improving how antibiotics are prescribed to pre-school children with urinary tract infections (UTI). The observational study of over 7,000 acutely unwell children visiting their GP explores the notion that GPs may be underdiagnosing UTIs in children, and urges more suspicion of UTIs in the acutely unwell.
The study found that based on clinical grounds alone, GPs suspected a child had a UTI in less than one-third (31.7%) of cases that were later confirmed by laboratory tests of a urine sample.
The authors recommend that GPs should become more aware of the possibility of UTIs in acutely unwell children and suggest that earlier recognition may be supported in the future through the use of a clinical algorithm. They suggest ‘this may increase the proportion of children with a UTI on culture who are prescribed an antibiotic at the first consultation, while avoiding antibiotics for children who do not have a UTI.’
The RCGP research paper of the year award is presented each year across six categories to recognise an individual or group of researchers who have undertaken and published an exceptional piece of research relating to general practice or primary care.
Professor Butler and Professor Alastair Hay, from the University of Bristol, were presented with their award at a special event on 28 September by Dr Imran Rafi, RCGP’s Chair of Clinical Innovation and Research.
Posted: 13 October 2016