PDF(Pubmed)
Abstract：
UNASSIGNED: The aim of this study was to elicit clinicians\' perspectives to help reduce antibiotic prescribing for asymptomatic bacteriuria and improve a patient-centered educational brochure for older adults with urinary tract infections or asymptomatic bacteriuria.
UNASSIGNED: Between October 2023 and April 2024, we conducted semi-structured qualitative interviews of clinicians who treat patients aged ≥65 years for urinary tract infections or bacteria in the urine, at infectious disease clinics, community senior living facilities, memory care clinics, and general practice. We developed an interview guide based on a behavior change framework and thematically analyzed written transcripts of audio-recorded interviews using inductive and deductive coding techniques.
UNASSIGNED: We identified several common themes surrounding management of asymptomatic bacteriuria from clinicians. These included an emphasis on ordering and interpreting urine tests, tension between guidelines and individual patient care for older adults, use of epidemiologic data to influence prescribing practices, pre-prepared communication talking points, and interest in educational materials for patients and clinical teams.
UNASSIGNED: Education about the need for symptoms to supplement urine testing, data about the impact of overuse of antibiotics, and oral and written communication strategies should be addressed to reduce antibiotic prescribing for asymptomatic bacteriuria.
UNASSIGNED: Between October 2023 and April 2024, we conducted semi-structured qualitative interviews of clinicians who treat patients aged ≥65 years for urinary tract infections or bacteria in the urine, at infectious disease clinics, community senior living facilities, memory care clinics, and general practice. We developed an interview guide based on a behavior change framework and thematically analyzed written transcripts of audio-recorded interviews using inductive and deductive coding techniques.
UNASSIGNED: We identified several common themes surrounding management of asymptomatic bacteriuria from clinicians. These included an emphasis on ordering and interpreting urine tests, tension between guidelines and individual patient care for older adults, use of epidemiologic data to influence prescribing practices, pre-prepared communication talking points, and interest in educational materials for patients and clinical teams.
UNASSIGNED: Education about the need for symptoms to supplement urine testing, data about the impact of overuse of antibiotics, and oral and written communication strategies should be addressed to reduce antibiotic prescribing for asymptomatic bacteriuria.
摘要：
■这项研究的目的是激发临床医生的观点，以帮助减少无症状菌尿的抗生素处方，并改善以患者为中心的教育手册，以治疗患有尿路感染或无症状菌尿的老年人。
■在2023年10月至2024年4月之间，我们对治疗年龄≥65岁患者尿路感染或尿液中细菌的临床医生进行了半结构化定性访谈，在传染病诊所，社区老年人生活设施，记忆护理诊所,和一般实践。我们基于行为变化框架开发了采访指南，并使用归纳和演绎编码技术对录音采访的书面成绩单进行了主题分析。
■我们从临床医生那里确定了一些关于无症状性菌尿治疗的共同主题。其中包括强调订购和解释尿检，指南和老年人个体患者护理之间的紧张关系，使用流行病学数据来影响处方实践，预先准备好的沟通谈话要点，以及对患者和临床团队的教育材料的兴趣。
■关于需要补充尿检症状的教育，关于过度使用抗生素影响的数据，应采用口头和书面交流策略，以减少无症状菌尿的抗生素处方。
■在2023年10月至2024年4月之间，我们对治疗年龄≥65岁患者尿路感染或尿液中细菌的临床医生进行了半结构化定性访谈，在传染病诊所，社区老年人生活设施，记忆护理诊所,和一般实践。我们基于行为变化框架开发了采访指南，并使用归纳和演绎编码技术对录音采访的书面成绩单进行了主题分析。
■我们从临床医生那里确定了一些关于无症状性菌尿治疗的共同主题。其中包括强调订购和解释尿检，指南和老年人个体患者护理之间的紧张关系，使用流行病学数据来影响处方实践，预先准备好的沟通谈话要点，以及对患者和临床团队的教育材料的兴趣。
■关于需要补充尿检症状的教育，关于过度使用抗生素影响的数据，应采用口头和书面交流策略，以减少无症状菌尿的抗生素处方。
