Awareness of antibiotic resistance and antibiotic prescribing in UTI treatment: a qualitative study among primary care physicians in Sweden.
Awareness of antibiotic resistance and antibiotic prescribing in UTI treatment: a qualitative study among primary care physicians in Sweden.
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DOI：
10.3109/02813432.2012.751695
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发表时间：
2013-03
影响因子：
2.1
通讯作者：
Stålsby Lundborg C
中科院分区：
文献类型：
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作者：
Björkman I;Berg J;Viberg N;Stålsby Lundborg C
目标。为了改善全科医生关于尿路感染 (UTI) 合理抗生素处方的教育和信息，重要的是要了解全科医生对耐药性的看法以及它如何影响他们对 UTI 治疗的选择。本研究的目的是探讨瑞典一个县的全科医生 (GP) 对耐药性和尿路感染治疗决策的看法差异。设计。采用现象学方法和内容分析对定性、半结构化访谈进行了分析。环境。瑞典南部克鲁努贝格县的初级保健。科目。对来自该县 25 个卫生中心中的 15 个的 20 名全科医生进行了有目的的抽样。主要成果衡量标准。尿路感染治疗中抗生素耐药性认知的变化。根据全科医生的指导如何治疗尿路感染。结果。确定了观察尿路感染治疗中耐药性的三种不同方式。它们是：（A）没问题，我从未见过耐药性，（B）其他地方的问题更大，以及（C）抗生素耐药性的发展很严重，我们必须小心。此外，全科医生对抗生素耐药性的看法也反映在他们在实践中报告尿路感染治疗的方式上。结论。全科医生如何将耐药性视为尿路感染治疗中的一个问题存在一个等级尺度。只有对耐药性表示担忧的全科医生才会完全遵循处方指南。这为旨在改变抗生素处方行为的规划以及很可能的意识或教育活动的结果提供了宝贵的见解。
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. Design. Qualitative, semi-structured interviews were analysed with a phenomenographic approach and content analysis. Setting. Primary care in Kronoberg, a county in southern Sweden. Subjects. A purposeful sample of 20 GPs from 15 of 25 health centres in the county. Main outcome measures. The variation of perceptions of antibiotic resistance in UTI treatment. How UTIs were treated according to the GPs. Results. Three different ways of viewing resistance in UTI treatment were identified. These were: (A) No problem, I have never seen resistance, (B) The problem is bigger somewhere else, and (C) The development of antibiotic resistance is serious and we must be careful. Moreover, GPs’ perceptions of antibiotic resistance were mirrored in how they reported their treatment of UTIs in practice. Conclusion. There was a hierarchal scale of how GPs viewed resistance as an issue in UTI treatment. Only GPs who expressed concerns about resistance followed prescribing guidelines completely. This offers valuable insights into the planning and most likely the outcome of awareness or educational activities aimed at changed antibiotic prescribing behaviour.
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影响因子：
2.1
作者：
Neumark, Thomas;Brudin, Lars;Molstad, Sigvard
通讯作者：
Molstad, Sigvard
影响因子：
5.2
作者：
Simpson, Sharon A.;Wood, Fiona;Butler, Christopher C.
通讯作者：
Butler, Christopher C.
影响因子：
3.6
作者：
Flach, SD;Longenecker, JC;Wigton, RS
通讯作者：
Wigton, RS
影响因子：
2.1
作者：
Ferry, Sven A.;Holm, Stig E.;Monsen, Tor J.
通讯作者：
Monsen, Tor J.
影响因子：
--
作者：
Bjorkman, I.;Berg, J.;Lundborg, C. S.
通讯作者：
Lundborg, C. S.