Quality of the Diagnostic Process, Treatment Decision, and Predictors for Antibiotic Use in General Practice for Nursing Home Residents with Suspected Urinary Tract Infection
| Autor: | Gloria Cordoba, Julie Aamand Olesen, Stine Dyhl Sommer-Larsen, Anne Holm, Sif Helene Arnold |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Microbiology (medical) medicine.medical_specialty medicine.drug_class Urinary system 030106 microbiology Antibiotics Psychological intervention Urine Biochemistry Microbiology elderly Article antibiotics 03 medical and health sciences 0302 clinical medicine Internal medicine Medicine Pharmacology (medical) 030212 general & internal medicine guidelines General Pharmacology Toxicology and Pharmaceutics Medical prescription Antibiotic use business.industry lcsh:RM1-950 nursing home Infectious Diseases lcsh:Therapeutics. Pharmacology Observational study business Nursing homes urinary tract infection |
| Zdroj: | Antibiotics, Vol 10, Iss 316, p 316 (2021) Antibiotics Volume 10 Issue 3 Sommer-Larsen, S D, Arnold, S H, Holm, A, Olesen, J A & Cordoba, G 2021, ' Quality of the Diagnostic Process, Treatment Decision, and Predictors for Antibiotic Use in General Practice for Nursing Home Residents with Suspected Urinary Tract Infection ', Antibiotics, vol. 10, no. 3 . https://doi.org/10.3390/antibiotics10030316 |
| ISSN: | 2079-6382 |
| DOI: | 10.3390/antibiotics10030316 |
| Popis: | Urinary tract infections (UTIs) are common in nursing home (NH) residents and Denmark is one of the countries with the highest antibiotic use in NHs. The aim of this study was to assess the quality of the diagnostic process and treatment decision on the day of the first contact from NHs to general practice and assess predictors for prescription of antibiotics in NH residents without an indwelling urinary catheter. The study was a prospective observational study in general practice in the Capital Region of Denmark 490 patients were included 158 out of 394 (40.1%, 95% CI 35 45) patients with suspected UTI had urinary tract symptoms 270 out of 296 (91.2%, 95% CI 87 94) patients without urinary tract symptoms had a urine culture performed. Performing urine culture in the general practice was inversely associated to prescription of antibiotics on day one (OR 0.27, 95% CI 0.13 0.56). It is imperative to support the implementation of interventions aimed at improving the quality of the diagnostic process on day one, as less than half of the patients given the diagnosis “suspected UTI” had urinary tract symptoms, and most patients without urinary tract symptoms had a urine culture performed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|