Management of lower urinary tract infection in women by Slovene GPs
Uncomplicated lower urinary tract infection (LUTI) is one of the most common infections treated in general practice. Although nationwide treatment guidelines for LUTI are increasingly available, most European countries, including Slovenia, have not yet set such guidelines. Our aim was to describe Sl...
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| Veröffentlicht in: | Family practice 2003-08, Vol.20 (4), p.452-456 |
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| creator | Car, Josip Svab, Igor Kersnik, Janko Vegnuti, Miljana |
| description | Uncomplicated lower urinary tract infection (LUTI) is one of the most common infections treated in general practice. Although nationwide treatment guidelines for LUTI are increasingly available, most European countries, including Slovenia, have not yet set such guidelines.
Our aim was to describe Slovene GPs' management of uncomplicated LUTIs and to analyse doctor and surgery characteristics that influence this management.
A written case vignette accompanied by open-ended questions regarding doctors' decisions (i.e. investigations and laboratory tests ordered, treatment options, advising sick leave, advice for treatment and follow-up procedures) and questions about doctor and surgery characteristics was sent to a representative sample of Slovene GPs.
The response rate was 129/171 (75.4%). There were large variations in management of LUTI: 17.8% of GPs ordered various additional laboratory tests; 57% of GPs prescribed trimethoprim/sulfamethoxazole and 37% norfloxacin; 30% of GPs prescribed a drug for 10-14 days; and 53.5% of GPs put the patient on sick leave of 1-10 days duration. Doctors with heavier workloads and those who have to wait for laboratory results for >24 h ordered more additional investigations.
Effective strategies for quality improvement are needed, together with practice guidelines. The influence of a heavier workload on management of LUTI and the impact of the accessibility of laboratory tests should be explored in future research. |
| doi_str_mv | 10.1093/fampra/cmg421 |
| format | Article |
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Our aim was to describe Slovene GPs' management of uncomplicated LUTIs and to analyse doctor and surgery characteristics that influence this management.
A written case vignette accompanied by open-ended questions regarding doctors' decisions (i.e. investigations and laboratory tests ordered, treatment options, advising sick leave, advice for treatment and follow-up procedures) and questions about doctor and surgery characteristics was sent to a representative sample of Slovene GPs.
The response rate was 129/171 (75.4%). There were large variations in management of LUTI: 17.8% of GPs ordered various additional laboratory tests; 57% of GPs prescribed trimethoprim/sulfamethoxazole and 37% norfloxacin; 30% of GPs prescribed a drug for 10-14 days; and 53.5% of GPs put the patient on sick leave of 1-10 days duration. Doctors with heavier workloads and those who have to wait for laboratory results for >24 h ordered more additional investigations.
Effective strategies for quality improvement are needed, together with practice guidelines. The influence of a heavier workload on management of LUTI and the impact of the accessibility of laboratory tests should be explored in future research.</description><identifier>ISSN: 0263-2136</identifier><identifier>EISSN: 1460-2229</identifier><identifier>DOI: 10.1093/fampra/cmg421</identifier><identifier>PMID: 12876120</identifier><identifier>CODEN: FAPREH</identifier><language>eng</language><publisher>England: Oxford Publishing Limited (England)</publisher><subject>Adult ; Aged ; Anti-Infective Agents - therapeutic use ; Cross-Sectional Studies ; Decision making ; Family Practice - methods ; Family Practice - standards ; Female ; General practitioners ; Health Services Research ; Humans ; Middle Aged ; Practice Guidelines as Topic ; Practice Patterns, Physicians ; Quality management ; Slovenia ; Treatment ; Urinary tract infections ; Urinary Tract Infections - diagnosis ; Urinary Tract Infections - drug therapy ; Women</subject><ispartof>Family practice, 2003-08, Vol.20 (4), p.452-456</ispartof><rights>Copyright Oxford University Press(England) Aug 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-e5c8c4199bb71993dd19671b105385fe686cebfc4dd1eb56e02c26f00645d9533</citedby><cites>FETCH-LOGICAL-c386t-e5c8c4199bb71993dd19671b105385fe686cebfc4dd1eb56e02c26f00645d9533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902,30977</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12876120$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Car, Josip</creatorcontrib><creatorcontrib>Svab, Igor</creatorcontrib><creatorcontrib>Kersnik, Janko</creatorcontrib><creatorcontrib>Vegnuti, Miljana</creatorcontrib><title>Management of lower urinary tract infection in women by Slovene GPs</title><title>Family practice</title><addtitle>Fam Pract</addtitle><description>Uncomplicated lower urinary tract infection (LUTI) is one of the most common infections treated in general practice. Although nationwide treatment guidelines for LUTI are increasingly available, most European countries, including Slovenia, have not yet set such guidelines.
Our aim was to describe Slovene GPs' management of uncomplicated LUTIs and to analyse doctor and surgery characteristics that influence this management.
A written case vignette accompanied by open-ended questions regarding doctors' decisions (i.e. investigations and laboratory tests ordered, treatment options, advising sick leave, advice for treatment and follow-up procedures) and questions about doctor and surgery characteristics was sent to a representative sample of Slovene GPs.
The response rate was 129/171 (75.4%). There were large variations in management of LUTI: 17.8% of GPs ordered various additional laboratory tests; 57% of GPs prescribed trimethoprim/sulfamethoxazole and 37% norfloxacin; 30% of GPs prescribed a drug for 10-14 days; and 53.5% of GPs put the patient on sick leave of 1-10 days duration. Doctors with heavier workloads and those who have to wait for laboratory results for >24 h ordered more additional investigations.
Effective strategies for quality improvement are needed, together with practice guidelines. The influence of a heavier workload on management of LUTI and the impact of the accessibility of laboratory tests should be explored in future research.</description><subject>Adult</subject><subject>Aged</subject><subject>Anti-Infective Agents - therapeutic use</subject><subject>Cross-Sectional Studies</subject><subject>Decision making</subject><subject>Family Practice - methods</subject><subject>Family Practice - standards</subject><subject>Female</subject><subject>General practitioners</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians</subject><subject>Quality management</subject><subject>Slovenia</subject><subject>Treatment</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - diagnosis</subject><subject>Urinary Tract Infections - drug therapy</subject><subject>Women</subject><issn>0263-2136</issn><issn>1460-2229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc1Lw0AQxRdRbK0evcriwVvsfmWTHKVoFRQF9Rw2m9mSkuzW3cTS_94tKQhevMwMzI_HzHsIXVJyS0nB50Z1G6_mulsJRo_QlApJEsZYcYymhEmeMMrlBJ2FsCaEZFmanaIJZXkmKSNTtHhRVq2gA9tjZ3DrtuDx4Bur_A73XukeN9aA7htn44S3LqK42uH31n2DBbx8C-foxKg2wMWhz9Dnw_3H4jF5fl0-Le6eE81z2SeQ6lwLWhRVlcXK65oWMqMVJSnPUwMylxoqo0VcQJVKIEwzaQiRIq2LlPMZuhl1N959DRD6smuChrZVFtwQyoyLIs-F-BdMM8IZI3vF6z_g2g3exifKeKHIiSxohJIR0t6F4MGUG9900Z-SknKfQTlmUI4ZRP7qIDpUHdS_9MF0_gOIg4Kh</recordid><startdate>200308</startdate><enddate>200308</enddate><creator>Car, Josip</creator><creator>Svab, Igor</creator><creator>Kersnik, Janko</creator><creator>Vegnuti, Miljana</creator><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>200308</creationdate><title>Management of lower urinary tract infection in women by Slovene GPs</title><author>Car, Josip ; Svab, Igor ; Kersnik, Janko ; Vegnuti, Miljana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-e5c8c4199bb71993dd19671b105385fe686cebfc4dd1eb56e02c26f00645d9533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anti-Infective Agents - therapeutic use</topic><topic>Cross-Sectional Studies</topic><topic>Decision making</topic><topic>Family Practice - methods</topic><topic>Family Practice - standards</topic><topic>Female</topic><topic>General practitioners</topic><topic>Health Services Research</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Practice Guidelines as Topic</topic><topic>Practice Patterns, Physicians</topic><topic>Quality management</topic><topic>Slovenia</topic><topic>Treatment</topic><topic>Urinary tract infections</topic><topic>Urinary Tract Infections - diagnosis</topic><topic>Urinary Tract Infections - drug therapy</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Car, Josip</creatorcontrib><creatorcontrib>Svab, Igor</creatorcontrib><creatorcontrib>Kersnik, Janko</creatorcontrib><creatorcontrib>Vegnuti, Miljana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Family practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Car, Josip</au><au>Svab, Igor</au><au>Kersnik, Janko</au><au>Vegnuti, Miljana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of lower urinary tract infection in women by Slovene GPs</atitle><jtitle>Family practice</jtitle><addtitle>Fam Pract</addtitle><date>2003-08</date><risdate>2003</risdate><volume>20</volume><issue>4</issue><spage>452</spage><epage>456</epage><pages>452-456</pages><issn>0263-2136</issn><eissn>1460-2229</eissn><coden>FAPREH</coden><abstract>Uncomplicated lower urinary tract infection (LUTI) is one of the most common infections treated in general practice. Although nationwide treatment guidelines for LUTI are increasingly available, most European countries, including Slovenia, have not yet set such guidelines.
Our aim was to describe Slovene GPs' management of uncomplicated LUTIs and to analyse doctor and surgery characteristics that influence this management.
A written case vignette accompanied by open-ended questions regarding doctors' decisions (i.e. investigations and laboratory tests ordered, treatment options, advising sick leave, advice for treatment and follow-up procedures) and questions about doctor and surgery characteristics was sent to a representative sample of Slovene GPs.
The response rate was 129/171 (75.4%). There were large variations in management of LUTI: 17.8% of GPs ordered various additional laboratory tests; 57% of GPs prescribed trimethoprim/sulfamethoxazole and 37% norfloxacin; 30% of GPs prescribed a drug for 10-14 days; and 53.5% of GPs put the patient on sick leave of 1-10 days duration. Doctors with heavier workloads and those who have to wait for laboratory results for >24 h ordered more additional investigations.
Effective strategies for quality improvement are needed, together with practice guidelines. The influence of a heavier workload on management of LUTI and the impact of the accessibility of laboratory tests should be explored in future research.</abstract><cop>England</cop><pub>Oxford Publishing Limited (England)</pub><pmid>12876120</pmid><doi>10.1093/fampra/cmg421</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Family practice, 2003-08, Vol.20 (4), p.452-456 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Aged Anti-Infective Agents - therapeutic use Cross-Sectional Studies Decision making Family Practice - methods Family Practice - standards Female General practitioners Health Services Research Humans Middle Aged Practice Guidelines as Topic Practice Patterns, Physicians Quality management Slovenia Treatment Urinary tract infections Urinary Tract Infections - diagnosis Urinary Tract Infections - drug therapy Women |
| title | Management of lower urinary tract infection in women by Slovene GPs |
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