Researchers from NUI Galway’s School of Medicine have carried out a study to explore the culture of antibiotic prescribing and consumption in the community for Urinary Tract Infections (UTIs), from the perspective of the General Practitioners (GPs) and community members. Their results were published in the medical journal BMJ Open.
This research provides insight into the decision-making processes contributing to the continued prescription and consumption of antibiotics for Urinary Tract Infections. An antibiotic is not a satisfactory outcome from every UTI GP consultation.
As a result of this qualitative research, behavioural interventions should focus on:
- Improving the quality of antibiotic prescribing for UTI by encouraging GPs to reflect on their current antibiotic-prescribing practices, including when they prescribe and what antibiotics they choose.
- Supporting a dialogue between the GP and the patient within the consultation about the positive and negative aspects of antibiotic treatment for UTI particularly when symptoms are non-specific.
- Building changes into routine care without elongating the consultation.
As part of the study the NUI Galway researchers carried out in depth interviews with 15 GPs practicing in rural and urban locations in Ireland, and six focus groups were held with community members who had direct or indirect experiences with urinary tract infection.
The study found that decisions made to prescribe or consume an antibiotic for a UTI is a set of complex processes. It includes recognising that you are unwell (need recognition), seeking advice from various sources like the web and family members prior to visiting the GP (information search), and deciding whether to go to the GP (evaluation process). All of these processes are governed by the relationship and interactions between the GP and the patient.
To view the full BMJ Open paper visit:http://bmjopen.bmj.com/content/6/1/e008894.full.pdf+html