Awareness of antibiotic resistance and antibiotic prescribing in UTI treatment: A qualitative study among primary care physicians in Sweden

Scandinavian Journal of Primary Health Care

Volumn 31, Issue 1, 2013, Pages 50-55

  Björkman, Ingeborg ^a   Berg, Johanna ^b   Viberg, Nina ^b   Stålsby Lundborg, Cecilia ^b  

^a UPPSALA UNIVERSITY   (Sweden)

^b KAROLINSKA INSTITUTE   (Sweden)

Author keywords

Antibiotics; Bacterial resistance; General practice; General practitioners; Interviews; Sweden; Urinary tract infection; Views

Indexed keywords

ANTIINFECTIVE AGENT;

ADULT; AGED; ANTIBIOTIC RESISTANCE; ARTICLE; ATTITUDE TO HEALTH; CLINICAL PRACTICE; FEMALE; GENERAL PRACTICE; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; MICROBIOLOGY; MIDDLE AGED; QUALITATIVE RESEARCH; STATISTICS; SWEDEN; URINARY TRACT INFECTION;

ADULT; AGED; ANTI-BACTERIAL AGENTS; ATTITUDE OF HEALTH PERSONNEL; DRUG RESISTANCE, MICROBIAL; FAMILY PRACTICE; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; MIDDLE AGED; PHYSICIAN'S PRACTICE PATTERNS; QUALITATIVE RESEARCH; SWEDEN; URINARY TRACT INFECTIONS;

MLCS; MLOWN;

EID: 84873662111     PISSN: 02813432     EISSN: 15027724     Source Type: Journal    
DOI: 10.3109/02813432.2012.751695     Document Type: Article

References (33)

1. WHO. World Health Day-7 April 2011. Antimicrobial resistance: No action today, no cure tomorrow Available at: http://www.who.int/world-health-day/2011/ en/index.html (accessed 27 May 2011).
2. Cars O, Hogberg LD, Murray M, Nordberg O, Sivaraman S, Lundborg CS, et al. Meeting the challenge of antibiotic resistance. BMJ 2008; 337: a1438.
3. Kuehlein T, Goetz K, Laux G, Gutscher A, Szecsenyi J, Joos S. Antibiotics in urinary-tract infections. Sustained change in prescribing habits by practice test and self-refl ection: Amixed methods before-after study. BMJ Quality & Safety 2011; 20:522-6.
4. Neumark T, Molstad S, Rosen C, Persson LG, Torngren A, Brudin L, et al. Evaluation of phenoxymethylpenicillin treatment of acute otitis media in children aged 2-16. Scand JPrim Health Care 2007; 25: 166-71.
5. Arason VA, Sigurdsson JA. The problems of antibiotic overuse . Scand JPrim Health Care 2010; 28: 65-6.
6. Gjelstad S, Dalen I, Lindbaek M. GPs ' antibiotic prescription patterns for respiratory tract infections: Still room for improvement. Scand JPrim Health Care 2009; 27: 208-15.
7. Neumark T, Brudin L, Engstrom S, Molstad S. Trends in number of consultations and antibiotic prescriptions for respiratory tract infections between 1999 and 2005 in primary healthcare in Kalmar County, Southern Sweden. Scand JPrim Health Care 2009; 27: 18-24.
8. Lundborg CS, Olsson E, Molstad S, Swedish Study Group on Antibiotic U. Antibiotic prescribing in outpatients: A 1-week diagnosis-prescribing study in 5 counties in Sweden. Scand JInfect Dis 2002; 34: 442-8.
9. Swedish Medical Product Agency. Nedre urinv äg sinfektion (UVI) hos kvinnor-behandlingsrekommendationer [UTI in women-treatment guidelines]. Information fr å nL ä kemedelsverket 2: 2007. Available at: http://www. lake medelsverket.se/upload/halso-och-sjukvard/ behandlingsrekommendationer/UVI-rek.pdf (accessed 27 May 2011).
10. Sandberg T, Jodal U, Nyman J. Urinv äg sinfektioner [Urinary tract infections]. L ä kemedelsboken [Drug therapy handbook]. Stockholm: Stockholm Apoteket AB; 2003. p 389-99.
11. Andre M, Molstad S, Lundborg CS, Odenholt I, Swedish Study Group on Antibiotic U. Management of urinary tract infections in primary care: Arepeated 1-week diagnosisprescribing study in fi ve counties in Sweden in 2000 and 2002. Scand JInfect Dis 2004; 36: 134-8.
12. Melander E, Petersson A. Resistenslä ge hos urinvä gspatogener isolerade fr å npatienter i ö ppen v å rd 1995-2001 [Resistance among urinary tract pathogens isolated from patients in primary care 1995-2001]. Mikrobiolognytt; 2001 [News in Microbiology; Dec 2001]. Available at: http://www.skane. se/upload/Webbplatser/Smittskydd/Dokument/2001 (accessed 27 March 2011).
13. Referensmetodik fö rlaboratoriediagnostik vid kliniskt bakteriologiska laboratorier. 1. Infektionsdiagnostik. 15. Urinv ä gsinfektioner/bakteriuri. 2:a upplagan 2000 [Methodology for laboratory diagnostics at clinical bacteriologic laboratories]. Available at: http://www.referensmetodik.smi. se/w/Referensmetodik:-Urinv%C3%A4gsinfektioner/ bakteriuri,-2:a-upplagan-2000 (accessed 27 March 2011).
14. Strama.se. Antibiotikaresistens [Antibiotic resistance]. Available at: http://www.strama.se/dyn//,37,80,70.html?dcid-36 (accessed 28 March 2011).
15. Sundqvist M, Geli P, Andersson DI, Sjolund-Karlsson M, Runehagen A, Cars H, et al. Little evidence for reversibility of trimethoprim resistance after adrastic reduction in trimethoprim use. JAntimicrob Chemother 2010; 65: 350-60.
16. Sandbaek A. Qualitative methods used for effect studies and evaluations of healthcare strategies? Scand JPrim Health Care 2006; 24: 131-2.
17. Marton F, Booth S. Om lä rande (also available in English: (1997) Learning and awareness. Mahwah, NJ: Erlbaum). Lund: Studentlitteratur; 2000.
18. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004; 24: 105-12.
19. Alexandersson M. Metod och medvetande [Method and awareness]. Dissertation, Acta Universitatis Gothoburgensis; 1994.
20. St ål sby Lundborg C, Wahlstr öm R, Dall'Alba G. Ways of experiencing asthma management: Variations among general practitioners in Sweden. Scand JPrim Health Care 1999; 17: 226-31.
21. Larsson J, Holmstr öm I, Rosenqvist U. Professional artist, good Samaritan, servant and co-ordinator: Four ways of understanding the anaesthetist ' swork. Acta Anaesthesiol Scand 2003; 47: 787-93.
22. Bj ör kman IK, Bernsten CB, Schmidt IK, Holmstr öm I. The role of drug and therapeutics committees. Int JHealth Care Qual Assur Inc Leadersh Health Serv 2005; 18: 235-48.
23. Hummers-Pradier E, Denig P, Oke T, Lagerlov P, Wahlstrom R, Haaijer-Ruskamp FM. GPs ' treatment of uncomplicated urinary tract infections: Aclinical judgement analysis in four European countries. DEP group. Drug Education Project. Fam Pract 1999; 16: 605-7.
24. Denig P, Witteman CL, Schouten HW. Scope and nature of prescribing decisions made by general practitioners. Qual Saf Health Care 2002; 11: 137-43.
25. Christiaens T, De Backer D, Burgers J, Baerheim A. Guidelines, evidence, and cultural factors. Scand JPrim Health Care 2004; 22: 141-5.
26. Enriquez-Puga A, Baker R, Paul S, Villoro-Valdes R. Effect of educational outreach on general practice prescribing of antibiotics and antidepressants: Atwo-year randomised controlled trial. Scand JPrim Health Care 2009; 27: 195-201.
27. Petursson P. GPs ' reasons for " non-pharmacological" prescribing of antibiotics: Aphenomenological study. Scand JPrim Health Care 2005; 23: 120-5.
28. Bjorkman I, Erntell M, Roing M, Lundborg CS. Infectious disease management in primary care: Perceptions of GPs. BMC Fam Pract 2011; 12: 1.
29. Bjorkman I, Berg J, Roing M, Erntell M, Lundborg CS. Perceptions among Swedish hospital physicians on prescribing of antibiotics and antibiotic resistance. Qual Saf Health Care 2010; 19: 1-5.
30. Simpson SA, Wood F, Butler CC. General practitioners' perceptions of antimicrobial resistance: Aqualitative study. JAntimicrob Chemother 2007; 59: 292-6.
31. Flach SD, Longenecker JC, Tape TG, Bryan TJ, Parenti C, Wigton RS. The relationship between treatment objectives and practice patterns in the management of urinary tract infections. Medical decision making: An international journal of the Society for Medical Decision Making 2003; 23: 131-9.
32. Ferry SA, Holm SE, Stenlund H, Lundholm R, Monsen TJ. Clinical and bacteriological outcome of different doses and duration of pivmecillinam compared with placebo therapy of uncomplicated lower urinary tract infection in women: The LUTIW project. Scand JPrim Health Care 2007; 25: 49-57.
33. Giblin TB, Sinkowitz-Cochran RL, Harris PL, Jacobs S, Liberatore K, Palfreyman MA, et al. Clinicians ' perceptions of the problem of antimicrobial resistance in health care facilities. Arch Intern Med 2004; 164: 1662-8.