Artikel
Differences in diagnosing and treating uncomplicated urinary tract infections in primary care in the northern Dutch-German cross-border region: a qualitative study
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Autoren
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Aida Bedri
- Carl von Ossietzky Universität Oldenburg, Department für Versorgungsforschung, Abteilung Allgemeinmedizin, Oldenburg, Deutschland
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Imke Aits
- Carl von Ossietzky Universität Oldenburg, Department für Versorgungsforschung, Abteilung Allgemeinmedizin, Oldenburg, Deutschland
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Matthijs Berends
- Certe Medische Diagnostiek en Advies [Certe Medical Diagnosis and Advice], Niederlande; University Medical Center Groningen, Department of Medical Microbiology and Infection Prevention, Groningen, Niederlande
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Axel Hamprecht
- Carl von Ossietzky Universität Oldenburg, Klinikum Oldenburg, Universitätsinstitut für medizinische Mikrobiologie und Virologie, Oldenburg, Deutschland
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Bianca Michalik
- Carl von Ossietzky Universität Oldenburg, Klinikum Oldenburg, Universitätsklinik für Urologie, Oldenburg, Deutschland
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Joppe van Duijn
- Certe Medische Diagnostiek en Advies [Certe Medical Diagnosis and Advice], Niederlande
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Alexander Winter
- Carl von Ossietzky Universität Oldenburg, Klinikum Oldenburg, Universitätsklinik für Urologie, Oldenburg, Deutschland
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Henk van der Worp
- University Medical Center Groningen, Department of General Practice and Elderly Care Medicine, Groningen, Niederlande
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Corinna Glasner
- University Medical Center Groningen, Department of Medical Microbiology and Infection Prevention, Groningen, Niederlande
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Marco Blanker
- University Medical Center Groningen, Department of General Practice and Elderly Care Medicine, Groningen, Niederlande
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Michael Freitag
- Carl von Ossietzky Universität Oldenburg, Department für Versorgungsforschung, Abteilung Allgemeinmedizin, Oldenburg, Deutschland
| Veröffentlicht: | 27. September 2023 |
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Gliederung
Text
Hintergrund: In the Netherlands and Germany, most antibiotics are prescribed in primary care, with urinary tract infections (UTIs) being the most common reason. The resistance rates of pathogens causing UTIs are rising in Europe. Differences in clinical practice guidelines may play a role and influence the prevalence of antibiotic resistance and treatment options. Therefore, we aim to explore the reality of primary care practices, including the management of uncomplicated UTIs and guideline adherence, in the northern Dutch-German cross-border region.
Fragestellung:
- 1.
- How do the diagnostic and treatment decisions of general practitioners (GPs) differ in the northern Dutch-German cross-border region with regards to UTIs and to what extent do these decisions correspond with primary care guidelines of their respective countries?
- 2.
- What are the underlying reasons for the decisions of GPs?
Methoden: We conducted semi-structured interviews with GPs from the study region until data saturation was reached. The interviews were conducted face-to-face, via videoconference or telephone between January 2023 and May 2023. The GPs recruited reflect different experience levels, genders, locations and size of the practices and number of working hours. All interviews were conducted using an interview guide. The audio recordings were transcribed verbatim and pseudonymised. The interviews will be analysed using structured qualitative content analysis.
Ergebnisse: 13 GPs were recruited in Germany. Dutch interviews are being conducted and will subsequently be analyzed. The main categories include diagnostics, therapeutic procedure and reasons for antibiotic prescribing. The preliminary findings show that for German physicians the patient’s pain, symptom recurrence and duration are central factors when deciding whether or not to prescribe antibiotics.
Diskussion: These results highlight the importance of exploring clinical practice guidelines in primary care and understanding the reasons behind GP's decisions.
Take Home Message für die Praxis: By reflecting on behaviors relating to prescribing antibiotics for uncomplicated UTIs, GPs could benefit from the findings of this study and improve patient outcomes.
