| Literature DB >> 23281925 |
Ingeborg Björkman1, Johanna Berg, Nina Viberg, Cecilia Stålsby Lundborg.
Abstract
OBJECTIVES: To improve education and information for general practitioners in relation to rational antibiotic prescribing for urinary tract infection (UTI), it is important to be aware of GPs' views of resistance and how it influences their choice of UTI treatment. The aim of this study was to explore variations in views of resistance and UTI treatment decisions among general practitioners (GPs) in a county in Sweden.Entities:
Mesh:
Substances:
Year: 2013 PMID: 23281925 PMCID: PMC3587295 DOI: 10.3109/02813432.2012.751695
Source DB: PubMed Journal: Scand J Prim Health Care ISSN: 0281-3432 Impact factor: 2.581
Gender, age, and geographical distribution of the GPs interviewed.
| Characteristics | |||
| Gender | Women | Men | Total |
| Age | |||
| 31–40 | 2 | 1 | 3 |
| 41–50 | 4 | 5 | 9 |
| 51–60 | 2 | 5 | 7 |
| 61–70 | – | 1 | 1 |
| Geographical location | |||
| Rural area | 4 | 5 | 9 |
| Urban area | 4 | 7 | 11 |
| Total | 8 | 12 | 20 |
Interview guide.
| Area | Introductory questions | Probing questions |
| Introduction | Could you please think of a patient with uncomplicated urinary tract infection and describe this patient? | Typical patient? |
| Treatment | How did you decide on the treatment for this patient? | Symptoms/urine tests? Direct/delayed treatment? Patient attitudes? |
| Effect of treatment | How do you usually experience the effect of the treatment? | Recurrent symptoms? |
| Resistance | What are your thoughts on resistance in general? | Influence on daily work? |
| Is there anything else you would like to say? |
The three identified perceptions.
| Category of description | Quotation |
| A. No problem, have never seen: | As for me, I prescribed for example trimethoprim to almost 90% of my patients, a trimethoprim preparation of short duration, five days. It is enough because it is effective…. No, I have never experienced that [patients cannot be treated by an antibiotic due to resistance]. This is not how it used to be. (Dr 9) |
| B. The problem is bigger somewhere else: | The cases where they don't get well, that is resistance. But, then you have to switch drugs and you can usually do that. There are other drugs to choose. You seldom feel totally helpless…. As I see it in Sweden about the urinary tract infections, it doesn't feel like a big problem for me right now…. If the trimethoprim susceptibility or the resistance rises a bit, it still doesn't feel like a big problem. (Dr 14) |
| C. The development of AR is serious and we must be careful: | Even if you see resistance in vitro, in the test tube, it may still have been effective in vivo, in real life…. But it's worrying that resistance to certain drugs is increasing more and more…. It's also rather worrying that no new antibiotics are being developed … and so, so we have to be careful with the ones we have. (Dr 8) |