NICE has published a new guideline (Faltering growth: recognition and management of faltering growth in children) and updated two guidelines (Urinary tract infection in under 16s: diagnosis and management and Immunisations: reducing differences in uptake in under 19s).

NICE Guideline 75 on Faltering growth: recognition and management of faltering growth in children covers recognition, assessment, and monitoring of faltering growth in infants and children. It includes a definition of growth thresholds for concern and identifying the risk factors for, and possible causes of, faltering growth. It also includes recommendations on:

  • weight loss in the early days of life
  • faltering growth after the early days of life
  • organisation of care
  • information and support for parents and carers.

NICE Clinical Guideline 54 on Urinary tract infection in under 16s: diagnosis and management was originally published in August 2007 and has now been updated. It covers diagnosing and managing first or recurrent upper or lower urinary tract infections in infants, children, and young people. It aims to achieve more consistent clinical practice, based on accurate diagnosis and effective management. The 2017 update to the guideline includes new recommendations on urine testing strategies for infants and children.

The guideline includes recommendations on:

  • investigations and diagnosis
  • acute management
  • imaging tests
  • surgical intervention
  • follow up
  • information and advice for children, young people, and parents or carers.

NICE Public Health Guideline 21 on Immunisations: reducing differences in uptake in under 19s has also been updated. The guideline aims to improve access to immunisation services and increase timely immunisation of children and young people, and aims to ensure babies born to mothers infected with hepatitis B are immunised. Updates to the 2017 version of the guideline include:

  • links to the online version of the Public Health England Green Book have been added
  • recommendation 6 has been updated to incorporate the hepatitis B vaccination into the routine vaccinations for babies
  • terminology throughout has been updated to reflect current public sector structures for commissioning and delivery of immunisation services.

The full guideline includes recommendations on:

  • immunisation programmes
  • information systems for recording immunisation status
  • training for staff involved in immunisation services
  • contribution of nurseries, schools, and further education colleges
  • targeting groups at risk of not being fully immunised
  • hepatitis B immunisation for infants.