Guidelines endorsed by RCPCH - Nephrology


NICE Urinary tract infections in infants, children and young people under 16

This quality standard covers the care of infants, children and young people under 16 years with a first or recurrent upper or lower urinary tract infection and without known underlying uropathy.

Date of Publication: July 2013
Date of Endorsement: October 2013

Full quality standard (PDF, 170KB, 31 Pages)


  NICE Anaemia in Chronic Kidney Disease (2011 Update) 

This clinical guideline (Feb 2011) updates and replaces NICE clinical guideline 39 (published September 2006). It covers the detection and diagnosis of individuals with a suspected clinical diagnosis of anaemia associated with Chronic Kidney Disease (CKD) and their subsequent management. The guideline contains updated recommendations on the diagnostic role of Hb levels and Optimal Hb levels. 

Date of Publication: January 2011
Date of Endorsement: February 2011

The full and NICE guideline including supporting information can be found here: http://guidance.nice.org.uk/CG114

Visit the NICE Pathway: anaemia management in people with chronic kidney disease


RCPCH Investigations in Hypernatraemia

This guideline is based on a systematic review of the literature relating to hypernatraemia and salt poisoning. It will provide evidence-based guidance on the differential diagnoses for hypernatraemia in children and on what investigations should be undertaken when children present, and the interpretation of the results of investigations.

The guideline is accompanied by an executive summary.

Date of Publication: July 2009
Date of Endorsement: April 2009

More information about the guideline


NICE Hypertension in Pregnancy

The guideline covers the diagnosis and management of hypertensive disorders during the antenatal, intrapartum and postnatal periods. It also contains recommendations for advice to women who wish to conceive and suffer from chronic hypertension, as well as advice to women after a pregnancy complicated by hypertension.

The guideline is accompanied by a quick reference guide, guidance for patients and carers, audit support, a costing report, a baseline assessment tool, a slide set and a costing template.

Date of Publication: August 2010
Date Endorsed: October 2010

Full guideline (PDF 2.98 KB)
NICE guideline (PDF 311 KB)


NICE: Neonatal Jaundice

The guideline covers the recognition, assessment and treatment of neonatal jaundice as well as the prediction of later significant hyperbilirubinaemia and adverse sequelae in babies from birth until 28 days of age.

The guideline is accompanied by a quick reference guide, guidance for parents and carers, audit support tools, costing tools, a factsheet, treatment threshold graphs, a slide set and a baseline assessment tool.

Date of Publication: May 2010
Date of Endorsement: June 2010

Full guideline (7.64 MB)
NICE Guideline (1.21 MB)

RCPCH Comments:
The RCPCH welcomes the publication of this guideline but asks Members to note the following:

  • The scope of the guideline does not cover infants with jaundice lasting beyond the first 28 days.

NICE Nocturnal Enuresis In Children

This guideline covers recommendations for the management of night time bedwetting, with or without daytime urinary, in children under the age of 19, with or without special needs.

The guideline is accompanied by guidance for patients and carers, audit support, a costing statement, a baseline assessment tool, costing template and slide side.

Date of Publication: October 2010
Date of Endorsement: October 2010

Full guideline (PDF 2.52MB)
NICE guideline (PDF 293KB)


NICE Organ donation for transplantation 

This guideline recognises the complexities that arise owing to the majority of potential adult and paediatric organ donors lacking the capacity to be directly involved in decision making at the time of their death. It covers strategies for improving donor identification and consent rates for deceased organ donation.

RCPCH Notes:

The College asks members to note that:

  • There are few data on the validity of trigger tools in paediatric practice. NICE’s response to this comment is as follows: ‘The GDG made their decisions using the best available evidence, and where this was not available or lacking, the GDG based their recommendations on their clinical experience.’ It should be noted that NICE has deemed the best evidence from studies investigating conversion of patients displaying clinical triggers into organ donors is of very low quality.
  • Explicit reference to contraindications to donation from a paediatric perspective is not covered by the guideline.  This is because the GDG agreed that contraindications should not be included due to the rapid pace at which changes to contraindications occur particularly in paediatric patients.

Date of Publication: December 2011

Date of Endorsement: February 2012

Full guideline (PDF, 914MB, 101 pages)

Appendices (PDF, 1.7MB, 202 pages)

Quick reference guide (PDF, 102KB, 12 pages)


American Academy of Paediatrics: Urinary Tract Infection in Febrile Infants and Young Children

The aim of the guideline was to formulate recommendations for health care professionals about the diagnosis, treatment, and evaluation of an initial urinary tract infection (UTI) in febrile infants and young children ages 2 months to 2 years.

The guideline includes an algorithm.

Date of Publication: April 1999
Date of Endorsement: April 1999

Technical report (PDF 990 KB)

RCPCH notes: This guideline will be updated in 2009 by the American Academy of Pediatrics.


NICE: Urinary Tract Infection in Children

The guideline covers the investigations and treatment for children younger than 16 years who have a urinary tract infection (UTI) and the information that should be offered to their families. Urine testing strategies are provided. The guideline is particularly relevant to all healthcare professionals who are involved in providing care for children who have a UTI, those responsible for commissioning and planning healthcare services and children who have a UTI and their families.

The guideline includes key priorities for implementation, a quick reference guide, information for parents/carers, slides highlighting the key messages, audit criteria, costing tools, implementation advice, and an online educational tool.

Date of Publication: August 2007
Date of Endorsement: March 2008

Full guideline (PDF 5.56 MB)
NICE guideline (PDF 252 KB)


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