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NICE

National Institute for Health and Clinical Excellence (NICE)

All children and young people with acute otitis media. Be aware that: - acute otitis media is a self-limiting infection that mainly affects children - acute otitis media can be caused by viruses and bacteria, and it is difficult to distinguish between these (both are often present at the same time) - symptoms last for about 3 days, but can last for up to 1 week - most children and young people get better within 3 days without antibiotics - complications such as mastoiditis are rare. Give advice ...

NICE

National Institute for Health and Clinical Excellence (NICE)

Manage an acute UTI as outlined in the NICE guidelines on urinary tract infection (lower): antimicrobial prescribing or pyelonephritis (acute): antimicrobial prescribing. Be aware that recurrent UTI: includes lower UTI and upper UTI (acute pyelonephritis) - may be due to relapse (with the same strain of organism) or reinfection (with a different strain or species of organism) - is particularly common in women. Give advice to people with recurrent UTI about behavioural and personal hygiene ...

NICE

National Institute for Health and Clinical Excellence (NICE)

Be aware that lower urinary tract infection (UTI) is an infection of the bladder usually caused by bacteria from the gastrointestinal tract entering the urethra and travelling up to the bladder. Give advice about managing symptoms with self-care to all people with lower UTI. Consider a back-up antibiotic prescription (to use if symptoms do not start to improve within 48 hours or worsen at any time) or an immediate antibiotic prescription for women with lower UTI who are not pregnant. Offer an ...

NICE

National Institute for Health and Clinical Excellence (NICE)

Be aware that acute pyelonephritis is an infection of one or both kidneys usually caused by bacteria travelling up from the bladder. In people aged 16 years and over with acute pyelonephritis, obtain a midstream urine sample before antibiotics are taken and send for culture and susceptibility testing. In children and young people under 16 years with acute pyelonephritis, obtain a urine sample before antibiotics are taken and send for culture and susceptibility testing. Assess and manage ...

NICE

National Institute for Health and Clinical Excellence (NICE)

Is a bacterial infection of the prostate needing treatment with antibiotics. Is usually caused by bacteria entering the prostate from the urinary tract. Can occur spontaneously or after medical procedures such as prostate biopsy. Can last several weeks Can cause complications such as acute urinary retention and prostatic abscess. Offer an antibiotic (see the recommendations on choice of antibiotic) to people with acute prostatitis. Take account of: The severity of symptoms, the risk of ...