Use of diagnostic tests and the appropriateness of the treatment decision in patients with suspected urinary tract infection in primary care in Denmark - observational study

BMC Family Practice
Gloria CordobaLars Bjerrum

Abstract

Inappropriate prescription of antibiotics is the leading driver of antimicrobial resistance (AMR). The majority of antibiotics are prescribed in primary care. Understanding how general practitioners (GPs) use diagnostic tests and the effect on treatment decision under daily practice conditions is important to reduce inappropriate prescription of antibiotics. The aim of the study was to investigate the use of diagnostic tests in primary care patients with suspected urinary tract infection (UTI) and to assess the appropriateness of the treatment decision (TD) under daily practice conditions in Denmark. Prospective observational study. Symptomatic adult patients consulting general practice with suspected UTI recruited over 12 months. The diagnostic workup was registered in a standardized form. The appropriateness of the TD was assessed based on the results of a culture performed at a reference microbiological laboratory. TD was considered appropriate if a patient had a positive culture and was prescribed antibiotics or had a negative culture and was not prescribed antibiotics. TD was considered inappropriate if a patient had a negative culture and was prescribed antibiotics (overtreatment) or had a positive culture and was not pre...Continue Reading

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Citations

Feb 11, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Kirk M Chan-TackDaniel J Morgan
Jul 16, 2019·Scandinavian Journal of Primary Health Care·Anja Kofod BeyerAnne Holm
Apr 25, 2020·Journal of Materials Chemistry. B, Materials for Biology and Medicine·Sahana VasudevanAdline Princy Solomon
Feb 13, 2019·BMJ Evidence-based Medicine·Gloria Cordoba, Carl Llor
Dec 1, 2021·Scandinavian Journal of Primary Health Care·Rikke Vognbjerg SydenhamDorte Ejg Jarbøl
Jan 14, 2022·Scandinavian Journal of Primary Health Care·Ida KollerupMalene Plejdrup Hansen

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