Doreen McClurg1, Kerry Walker2, Rob Pickard3, Paul Hilton4, Holly Ainsworth5, Kelly Leonard6, Sheeba Suresh7, Annette Nilsson8, Nicola Gillespie9. 1. Nursing, Midwifery and Allied Health Professions, Research Unit, United Kingdom; Glasgow Caledonian University, Room A603 Govan Mbeki Building, Glasgow, G4 0BA, United Kingdom. Electronic address: Doreen.mcclurg@gcu.ac.uk. 2. Nursing, Midwifery and Allied Health Professions, Research Unit, United Kingdom; Glasgow Caledonian University, Room A603 Govan Mbeki Building, Glasgow, G4 0BA, United Kingdom. Electronic address: kerry.walker@gcu.ac.uk. 3. Newcastle University, The Medical School, Newcastle upon Tyne, NE2 4HH, United Kingdom. Electronic address: robert.pickard@Newcastle.ac.uk. 4. Newcastle University, The Medical School, Newcastle upon Tyne, NE2 4HH, United Kingdom. Electronic address: Paul.Hilton@newcastle.ac.uk. 5. Newcastle University, The Medical School, Newcastle upon Tyne, NE2 4HH, United Kingdom. Electronic address: Holly.ainsworth@newcastle.ac.uk. 6. Urology Research Nurse, Addenbrooke's Hospital, Cambridge, United Kingdom. Electronic address: kelly.leonard@addenbrookes.nhs.uk. 7. Ipswich Hospital NHS Trust, Ipswich, Suffolk, United Kingdom. Electronic address: sheeba.suresh@ipswichhospital.nhs.uk. 8. Research & Development, University Hospitals Birmingham NHS Foundation Trust, United Kingdom. Electronic address: Annette.Nilsson@uhb.nhs.uk. 9. Glasgow Caledonian University, Room A603 Govan Mbeki Building, Glasgow, G4 0BA, United Kingdom. Electronic address: Nicola.Gillespie@gcu.ac.uk.
Abstract
BACKGROUND: Recurrent urinary tract infections are a commonly reported problem in people who use clean intermittent self-catheterisation. Yet there is a lack of knowledge regarding both the impact on people's lives, the use of prophylactic anti-biotics and perceptions of patients on their use. AIMS: To explore the views and experiences of adults who use clean intermittent self-catheterisation for long-term bladder conditions, with a focus on urinary tract infection experience and prophylactic antibiotic use. DESIGN: A qualitative descriptive study. METHODS:Twenty-six semi-structured qualitative interviews were conducted with individuals recruited from the ANTIC Trial (Antibiotic treatment for intermittent bladder catheterisation: A randomised controlled trial of once daily prophylaxis). Participants were intermittent self-catheter users aged 18 years or older. Interviews took place between August 2015 and January 2016. Transcript data were analysed thematically. FINDINGS: Three overarching topics were revealed with corresponding themes: the experiences of intermittent self-catheterisation and urinary tract infections (normalisation, perceived burden); attitudes towards antibiotics for urinary tract infection treatment (nonchalant attitudes, ambivalence towards antibiotic resistance); and experiences of low-dose prophylaxis antibiotics (habitual behaviour and supportive accountability). CONCLUSION: The emotional and practical burden of catheter use and urinary tract infection was considerable. Beliefs pertaining to antibiotic use were based on utility, gravity of need and perceived efficacy. These opinions were often influenced by clinician recommendations.
RCT Entities:
BACKGROUND: Recurrent urinary tract infections are a commonly reported problem in people who use clean intermittent self-catheterisation. Yet there is a lack of knowledge regarding both the impact on people's lives, the use of prophylactic anti-biotics and perceptions of patients on their use. AIMS: To explore the views and experiences of adults who use clean intermittent self-catheterisation for long-term bladder conditions, with a focus on urinary tract infection experience and prophylactic antibiotic use. DESIGN: A qualitative descriptive study. METHODS: Twenty-six semi-structured qualitative interviews were conducted with individuals recruited from the ANTIC Trial (Antibiotic treatment for intermittent bladder catheterisation: A randomised controlled trial of once daily prophylaxis). Participants were intermittent self-catheter users aged 18 years or older. Interviews took place between August 2015 and January 2016. Transcript data were analysed thematically. FINDINGS: Three overarching topics were revealed with corresponding themes: the experiences of intermittent self-catheterisation and urinary tract infections (normalisation, perceived burden); attitudes towards antibiotics for urinary tract infection treatment (nonchalant attitudes, ambivalence towards antibiotic resistance); and experiences of low-dose prophylaxis antibiotics (habitual behaviour and supportive accountability). CONCLUSION: The emotional and practical burden of catheter use and urinary tract infection was considerable. Beliefs pertaining to antibiotic use were based on utility, gravity of need and perceived efficacy. These opinions were often influenced by clinician recommendations.
Authors: Holly Fisher; Yemi Oluboyede; Thomas Chadwick; Mohamed Abdel-Fattah; Catherine Brennand; Mandy Fader; Simon Harrison; Paul Hilton; James Larcombe; Paul Little; Doreen McClurg; Elaine McColl; James N'Dow; Laura Ternent; Nikesh Thiruchelvam; Anthony Timoney; Luke Vale; Katherine Walton; Alexander von Wilamowitz-Moellendorff; Jennifer Wilkinson; Ruth Wood; Robert Pickard Journal: Lancet Infect Dis Date: 2018-06-28 Impact factor: 25.071