{Reference Type}: Journal Article {Title}: Men with lower UTI in primary healthcare. General practitioners' experiences of diagnosis and treatment in relation to clinical guidelines. A qualitative interview-based study. {Author}: Kornfält Isberg H;Gröndal H;Tyrstrup M; {Journal}: BJGP Open {Volume}: 0 {Issue}: 0 {Year}: 2024 Apr 15 暂无{DOI}: 10.3399/BJGPO.2023.0254 {Abstract}: BACKGROUND: The incidence of lower urinary tract infection (LUTI) in men visiting primary health care (PHC) is low. Hence, GPs do not diagnose and treat men with LUTI very often. Previous studies have shown that adherence to treatment guidelines regarding LUTI in men is low. There is limited knowledge concerning why guidelines are not adhered to.
OBJECTIVE: To gain knowledge on GPs' experiences and concerns when treating men with LUTI, including their use of clinical guidelines. Furthermore, to explore GPs' knowledge and concern regarding antibiotic resistance.
METHODS: A qualitative study based on semi-structured interviews with GPs was performed.
METHODS: 15 GPs from seven PHC centres in southern Sweden were interviewed. The interviews were conducted from September 2022 to March 2023. All interviews were audio recorded and transcribed verbatim. A thematic analysis was performed.
RESULTS: GPs had limited experience with and felt uncertain when diagnosing male LUTI. Extended examinations could partially relieve this feeling. GPs were well informed about the Swedish treatment guidelines for LUTI in men and felt safe to treat their patients according to the guidelines. However, GPs also acknowledged that guidelines do not cover all situations and need to be individualised.
CONCLUSIONS: Many GPs feel insecure when diagnosing male LUTI. The relatively low prevalence of this condition in PHC could contribute to this feeling. Clear and instructive guidelines regarding both the diagnostic process and adequate antibiotic choices are important to maintain good quality in the management of LUTI in men.