一般医生对男性下部尿路感染的诊断和治疗指南的经验:定性访谈
Helena Kornfält Isberg1, Hedvig Gröndal2, Mia Tyrstrup3
1Department of Clinical Sciences, Family Medicine and Community Medicine, Lund University, Malmö, Sweden helena.isberg@med.lu.se.
BJGP open
|April 15, 2024
概括
一般医生 (GPs) 由于发病率低,经常感到不确定诊断男性下尿道感染 (LUTI). 需要更明确的诊断和抗生素选择指导方针,以提高护理质量.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 初级医疗保健是一项主要的医疗保健.
- 传染性疾病 传染性疾病
背景情况:
- 男性下尿路感染 (LUTI) 在初级卫生保健 (PHC) 中不常见.
- 一般医生 (GPs) 在诊断和治疗男性 LUTI 的经验有限.
- 遵守现有的男性LUTI治疗指南是不理想的,原因不明.
研究的目的:
- 调查全科医生关于男性LUTI诊断和治疗的经验和担忧.
- 评估全科医生对男性LUTI的临床指南的使用情况.
- 探索全科医生的知识和担忧关于抗生素耐药性在男性LUTI的背景下.
主要方法:
- 使用半结构面试进行定性研究设计.
- 在2022年9月至2023年3月期间,来自瑞典南部七个医疗保健中心的15名全科医生接受了采访.
- 对转录的采访数据进行了主题分析.
主要成果:
- 一般医生报告男性LUTI的经验有限和诊断确定性有限,可以通过扩展检查来改善.
- 一般医生对目前的瑞典治疗指南有所了解,并对应用这些指南感到自信.
- 一般医生认识到,指南需要个性化,并不涵盖所有临床情景.
结论:
- 一般医生在诊断男性LUTI时经常遇到不安全感,这可能与PHC的低患病率有关.
- 该研究强调,需要明确,教导性指导方针,用于诊断和抗生素选择在男性LUTI管理.
- 改进的指导方针对于在初级保健机构中为患有LUTI的男性提供高质量的护理至关重要.
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