Treatment of urinary tract infections in Swiss primary care: quality and determinants of antibiotic prescribing.

Abstract:

BACKGROUND:Urinary tract infections are one of the most common reasons for prescribing antibiotics in primary care. Current guidelines recommend fosfomycin, nitrofurantoin, or trimethoprim - sulfamethoxazol as empiric first line antimicrobial agents in uncomplicated infections. However, there is evidence that the use of fluoroquinolones, which are no longer recommended, is still inappropriate high. We determined antibiotic prescription patterns, quality and factors affecting antibiotic prescriptions in urinary tract infections in primary care in Switzerland. METHODS:From June 2017 to August 2018, we conducted a cross-sectional study in patients suffering from a urinary tract infection (UTI). Patient and general practitioners characteristics as well as antibiotic prescribing patterns were analysed. RESULTS:Antibiotic prescribing patterns in 1.352 consecutively recruited patients, treated in 163 practices could be analysed. In 950 (84.7%) patients with an uncomplicated UTI the prescriptions were according to current guidelines and therefore rated as appropriate. Fluoroquinolones were prescribed in 13.8% and therefore rated as inappropriate. In multivariable analysis, the age of the general practitioner was associated with increasing odds of prescribing a not guideline recommended antibiotic therapy. CONCLUSIONS:We found a high degree of guideline conform antibiotic prescriptions in patients with an uncomplicated urinary tract infection in primary care in Switzerland. However, there is still a substantial use of fluoroquinolones in empiric therapy.

journal_name

BMC Fam Pract

journal_title

BMC family practice

authors

Plate A,Kronenberg A,Risch M,Mueller Y,Di Gangi S,Rosemann T,Senn O

doi

10.1186/s12875-020-01201-1

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

125

issue

1

issn

1471-2296

pii

10.1186/s12875-020-01201-1

journal_volume

21

pub_type

杂志文章
  • An after hours gp clinic in regional Australia: appropriateness of presentations and impact on local emergency department presentations.

    abstract:BACKGROUND:After hours general practice clinics provide medical attention for clients with non-emergency situations but are seeking immediate treatment and unable to wait for a general practitioner during routine opening hours. Evidence on the impact that after hours clinics have on emergency department presentations i...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-017-0657-6

    authors: Payne K,Dutton T,Weal K,Earle M,Wilson R,Bailey J

    更新日期:2017-09-11 00:00:00

  • Impact of obesity on glucose and lipid profiles in adolescents at different age groups in relation to adulthood.

    abstract:BACKGROUND:As obesity is rapidly becoming a major medical and public health problem, the aim of our study was to determine: 1) if obesity in Caucasian adolescents at 5 different Tanner stages are associated with obesity in adulthood and its obesity-associated abnormal glucose and lipid profiles, 2) the type of fat dist...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-3-18

    authors: Plourde G

    更新日期:2002-10-14 00:00:00

  • Challenges of managing people with multimorbidity in today's healthcare systems.

    abstract::Multimorbidity is a growing issue and poses a major challenge to health care systems around the world. Multimorbidity is related to ageing but many studies have now shown that it is also socially patterned, being more common and occurring at an earlier age in areas of high socioeconomic deprivation. There is lack of r...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-015-0344-4

    authors: Moffat K,Mercer SW

    更新日期:2015-10-14 00:00:00

  • Primary care physician perspectives on barriers to diagnosing axial Spondyloarthritis: a qualitative study.

    abstract:BACKGROUND:The average delay in diagnosis for patients with axial spondyloarthritis (axSpA) is 7 to 10 years. Factors that contribute to this delay are multifactorial and include the lack of diagnostic criteria (although classification criteria exist) for axSpA and the difficulty in distinguishing inflammatory back pai...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-020-01274-y

    authors: Lapane KL,Khan S,Shridharmurthy D,Beccia A,Dubé C,Yi E,Kay J,Liu SH

    更新日期:2020-09-29 00:00:00

  • Irish general practitioners' view of perinatal mental health in general practice: a qualitative study.

    abstract:BACKGROUND:Identification of perinatal mental health problems and effective care for women who experience them are important considering the potentially serious impact that they may have on the wellbeing of the woman, her baby, family and wider society. General practitioners (GPs) play a central role in identifying and...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-018-0884-5

    authors: Noonan M,Doody O,O'Regan A,Jomeen J,Galvin R

    更新日期:2018-12-13 00:00:00

  • Deprescribing medication in very elderly patients with multimorbidity: the view of Dutch GPs. A qualitative study.

    abstract:BACKGROUND:Elderly patients with multimorbidity who are treated according to guidelines use a large number of drugs. This number of drugs increases the risk of adverse drug events (ADEs). Stopping medication may relieve these effects, and thereby improve the patient's wellbeing. To facilitate management of polypharmacy...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-13-56

    authors: Schuling J,Gebben H,Veehof LJ,Haaijer-Ruskamp FM

    更新日期:2012-07-09 00:00:00

  • Knowledge, attitudes and practices towards antibiotic use in upper respiratory tract infections among patients seeking primary health care in Singapore.

    abstract:BACKGROUND:Patients' expectations can influence antibiotic prescription by primary healthcare physicians. We assessed knowledge, attitude and practices towards antibiotic use for upper respiratory tract infections (URTIs), and whether knowledge is associated with increased expectations for antibiotics among patients vi...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-016-0547-3

    authors: Pan DS,Huang JH,Lee MH,Yu Y,Chen MI,Goh EH,Jiang L,Chong JW,Leo YS,Lee TH,Wong CS,Loh VW,Poh AZ,Tham TY,Wong WM,Lim FS

    更新日期:2016-11-03 00:00:00

  • Impact of NPS MedicineWise general practitioner education programs and Choosing Wisely Australia recommendations on prescribing of proton pump inhibitors in Australia.

    abstract:BACKGROUND:This study evaluated the impact of multifaceted NPS MedicineWise programs that targeted all general practitioners (GPs) in Australia in 2009 and 2015 with the aim of reducing unnecessary prescribing of proton pump inhibitors (PPIs) and encouraged stepping down to a lower strength PPI or to discontinue treatm...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-020-01158-1

    authors: Wu J,Dickinson S,Elgebaly Z,Blogg S,Heaney A,Soo Y,Daniels B,Weekes L

    更新日期:2020-05-09 00:00:00

  • Avoidance as a strategy of (not) coping: qualitative interviews with carers of Huntington's Disease patients.

    abstract:BACKGROUND:Since Huntington's Disease (HD) is a familial disease with an average onset in the mid-thirties, one might expect that spousal carers are concerned with providing care for off-spring who may turn out to be affected. METHODS:This study involved ten face-to-face interviews with carers of spouses affected by H...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-6-38

    authors: Lowit A,van Teijlingen ER

    更新日期:2005-09-14 00:00:00

  • How do we improve men's mental health via primary care? An evaluation of the Atlas Men's Well-being Pilot Programme for stressed/distressed men.

    abstract:BACKGROUND:Over three-quarters of all suicides are men (England and Wales), this is despite higher levels of anxiety and depression being reported by women. This disparity may in part be explained by atypical presentations of distress in men, and gendered issues around help-seeking. Consequently, the Atlas Men's Well-b...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-016-0410-6

    authors: Cheshire A,Peters D,Ridge D

    更新日期:2016-02-02 00:00:00

  • Far from easy and accurate - detection of metabolic syndrome by general practitioners.

    abstract:BACKGROUND:Metabolic syndrome (MetS) is a major public health challenge. General practitioners (GPs) could play a key role in its recognition. However, it often remains undiagnosed in primary care. This study assesses how well GPs and patients recognise MetS among patients with coronary heart disease or at least one of...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-10-76

    authors: Helminen EE,Mäntyselkä P,Nykänen I,Kumpusalo E

    更新日期:2009-11-30 00:00:00

  • Prevalence of target organ damage in hypertensive subjects attending primary care: C.V.P.C. study (epidemiological cardio-vascular study in primary care).

    abstract:BACKGROUND:Except for the established risk factors, presence of target organ damage has an important role in the treatment of hypertensive subjects. The aim of the present study was to estimate the prevalence of target organ damage in primary care subjects. METHODS:This multi-centre, cross-sectional survey of 115 prim...

    journal_title:BMC family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2296-12-75

    authors: Papazafiropoulou A,Skliros E,Sotiropoulos A,Papafragos C,Gikas A,Apostolou O,Kaliora H,Tountas C

    更新日期:2011-07-14 00:00:00

  • Retraction Note: Al Kharj diabetic patients' perception about diabetes mellitus using revised-illness perception questionnaire (IPQ-R).

    abstract::The editors have retracted this article [1] because it contains extensive overlap with an article published by the same authors in the Journal of Family & Community Medicine [2] and is therefore redundant. ...

    journal_title:BMC family practice

    pub_type: 杂志文章,撤回出版物

    doi:10.1186/s12875-019-1043-3

    authors: Al-Ghamdi S,Ahmad G,Ali AH,Bahakim N,Alomran S,Alhowikan W,Almutairi S,Basalem T,Aljuaid F

    更新日期:2019-11-05 00:00:00

  • The management of non-valvular atrial fibrillation (NVAF) in Australian general practice: bridging the evidence-practice gap. A national, representative postal survey.

    abstract:BACKGROUND:General practitioners (GPs) are ideally placed to bridge the widely noted evidence-practice gap between current management of NVAF and the need to increase anticoagulant use to reduce the risk of fatal and disabling stroke in NVAF. We aimed to identify gaps in current care, and asked GPs to identify potentia...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-9-62

    authors: Gattellari M,Worthington JM,Zwar NA,Middleton S

    更新日期:2008-11-13 00:00:00

  • General practitioners' views on polypharmacy and its consequences for patient health care.

    abstract:BACKGROUND:Multimorbidity is defined as suffering from coexistent chronic conditions. Multimorbid patients demand highly complex patient-centered care which often includes polypharmacy, taking an average of six different drugs per day. Adverse drug reactions, adverse drug events and medication errors are all potential ...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-14-119

    authors: Köberlein J,Gottschall M,Czarnecki K,Thomas A,Bergmann A,Voigt K

    更新日期:2013-08-15 00:00:00

  • Lifestyle counseling in hypertension-related visits--analysis of video-taped general practice visits.

    abstract:BACKGROUND:The general practitioner (GP) can play an important role in promoting a healthy lifestyle, which is especially relevant in people with an elevated risk of cardiovascular diseases due to hypertension. Therefore, the aim of this study was to determine the frequency and content of lifestyle counseling about wei...

    journal_title:BMC family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2296-9-58

    authors: Milder IE,Blokstra A,de Groot J,van Dulmen S,Bemelmans WJ

    更新日期:2008-10-14 00:00:00

  • A qualitative exploration of the use of calendar landmarking instruments in cancer symptom research.

    abstract:BACKGROUND:Late diagnosis is considered to be a major factor contributing to poorer cancer survival rates in the UK. Interventions have focussed on the promotion of earlier diagnosis in patients with potential cancer symptoms. However, to assess the effectiveness of these interventions, the time from symptom onset to p...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-014-0167-8

    authors: Mills K,Emery J,Cheung C,Hall N,Birt L,Walter FM

    更新日期:2014-10-25 00:00:00

  • Frequency of GP communication addressing the patient's resources and coping strategies in medical interviews: a video-based observational study.

    abstract:BACKGROUND:There is increasing focus on patient-centred communicative approaches in medical consultations, but few studies have shown the extent to which patients' positive coping strategies and psychological assets are addressed by general practitioners (GPs) on a regular day at the office. This study measures the fre...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-10-49

    authors: Mjaaland TA,Finset A

    更新日期:2009-07-01 00:00:00

  • Patient and caregiver perspectives on early identification for advance care planning in primary healthcare settings.

    abstract:BACKGROUND:As part of a broader study to improve the capacity for advance care planning (ACP) in primary healthcare settings, the research team set out to develop and validate a computerized algorithm to help primary care physicians identify individuals at risk of death, and also carried out focus groups and interviews...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-020-01206-w

    authors: Kendell C,Kotecha J,Martin M,Han H,Jorgensen M,Urquhart R

    更新日期:2020-07-09 00:00:00

  • The developing family doctor system: evidence from the progress of the family doctor signing service from a longitudinal survey (2013-2016) in Pudong New Area, Shanghai.

    abstract:BACKGROUND:The family doctor system is a vital part of China's national medical and health system reform. Evidence of the degree of implementation of the family doctor system is required to assist managers and policy makers in Pudong with resource allocation planning. This study analyzed changes in indicators (family d...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-020-01353-0

    authors: Liu S,Liu Y,Zhang T,Wang L,Huang J,Liang H,Chen G,Liu C,Zhang Y

    更新日期:2021-01-08 00:00:00

  • Public preferences for primary care provision in Germany - a discrete choice experiment.

    abstract:BACKGROUND:Primary care is a central element of healthcare and addresses the main health problems of the population. While primary care gains in importance due to an aging population, there is an ongoing debate on physician shortages in German rural regions. The study aims on analyzing the population's preferences on p...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-019-0967-y

    authors: Krinke KS,Tangermann U,Amelung VE,Krauth C

    更新日期:2019-06-11 00:00:00

  • The University of Limerick Education and Research Network for General Practice (ULEARN-GP): practice characteristics and general practitioner perspectives.

    abstract:BACKGROUND:A well-functioning general practice sector that has a strong research component is recognised as a key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in research if they are part of an established research network. The primary aims of this study are to desc...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-020-1100-y

    authors: O'Regan A,Hayes P,O'Connor R,Casey M,O'Dwyer P,Culhane A,O'Donnell P,Stack G,Cuddihy J,O'Connell B,O'Flynn J,Cullen W,O'Doherty J,O'Connell M,Glynn L

    更新日期:2020-02-05 00:00:00

  • Implementation of cardiovascular disease prevention in primary health care: enhancing understanding using normalisation process theory.

    abstract:BACKGROUND:The reorientation of primary health care towards prevention is fundamental to addressing the rising burden of chronic disease. However, in Australia, cardiovascular disease prevention practice in primary health care is not generally consistent with existing guidelines. The Model for Prevention study was a wh...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-017-0580-x

    authors: Volker N,Williams LT,Davey RC,Cochrane T,Clancy T

    更新日期:2017-02-24 00:00:00

  • Determinants of referral of women with urinary incontinence to specialist services: a national cohort study using primary care data from the UK.

    abstract:BACKGROUND:Female urinary incontinence is underdiagnosed and undertreated in primary care. There is little evidence on factors that determine whether women with urinary incontinence are referred to specialist services. This study aimed to investigate characteristics associated with referrals from primary to specialist ...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-020-01282-y

    authors: Gurol-Urganci I,Geary RS,Mamza JB,Iwagami M,El-Hamamsy D,Duckett J,Wilson A,Tincello D,van der Meulen J

    更新日期:2020-10-16 00:00:00

  • An explorative qualitative study on acceptability of physical activity assessment instruments among primary care professionals in southern Sydney.

    abstract:BACKGROUND:There are a substantial number of instruments for primary-care clinicians to assess physical-activity (PA). However, there are few studies that have explored the views of clinicians regarding comparative acceptability and ease of use. A better understanding of how clinicians perceive instruments could help o...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-016-0536-6

    authors: Dutton SN,Dennis SM,Zwar N,Harris MF

    更新日期:2016-09-22 00:00:00

  • Effect of an audiovisual message for tetanus booster vaccination broadcast in the waiting room.

    abstract:BACKGROUND:General practitioners (GPs) often lack time and resources to invest in health education; audiovisual messages broadcast in the waiting room may be a useful educational tool. This work was designed to assess the effect of a message inviting patients to ask for a tetanus booster vaccination. METHODS:A quasi e...

    journal_title:BMC family practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2296-12-104

    authors: Eubelen C,Brendel F,Belche JL,Freyens A,Vanbelle S,Giet D

    更新日期:2011-09-28 00:00:00

  • Identifying patients with medically unexplained physical symptoms in electronic medical records in primary care: a validation study.

    abstract:BACKGROUND:When medically unexplained physical symptoms (MUPS) become persistent, it may have major implications for the patient, the general practitioner (GP) and for society.Early identification of patients with MUPS in electronic medical records (EMRs) might contribute to prevention of persistent MUPS by creating aw...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-15-109

    authors: den Boeft M,van der Wouden JC,Rydell-Lexmond TR,de Wit NJ,van der Horst HE,Numans ME

    更新日期:2014-06-05 00:00:00

  • Patients' experiences of living with medically unexplained symptoms (MUS): a qualitative study.

    abstract:BACKGROUND:Patients with medically unexplained symptoms (MUS) are common in primary care, and pose a communicative and therapeutic challenge to GPs. Although much has been written about GPs' frustration and difficulties while dealing with these patients, research presenting the patients' perspectives on MUS still seems...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-018-0709-6

    authors: Sowińska A,Czachowski S

    更新日期:2018-02-02 00:00:00

  • The 5As team patient study: patient perspectives on the role of primary care in obesity management.

    abstract:BACKGROUND:Over 60% of people have overweight or obesity, but only a third report receiving counselling from primary care providers. We explored patients' perspectives on the role of primary care in obesity management and their experience with existing resources, with a view to develop an improved understanding of this...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-017-0596-2

    authors: Torti J,Luig T,Borowitz M,Johnson JA,Sharma AM,Campbell-Scherer DL

    更新日期:2017-02-08 00:00:00

  • A qualitative study in rural and urban areas on whether--and how--to consult during routine and out of hours.

    abstract:BACKGROUND:Patients vary widely when making decisions to consult primary care. Some present frequently with trivial illness: others delay with serious disease. Differences in health service provision may play a part in this. We aimed to explore whether and how patients' consulting intentions take account of their perce...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-7-26

    authors: Campbell NC,Iversen L,Farmer J,Guest C,MacDonald J

    更新日期:2006-04-26 00:00:00