Identifying and addressing UTI prevention barriers in primary care: a qualitative study
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Le résumé fourni par la source
BACKGROUND: Urinary tract infection (UTI) recurrence rates are high for certain patient groups, affecting physical and mental health, and leading to repeated antibiotic usage. Behavioural measures and non-antibiotic products can prevent recurrences, reducing the need for antibiotics. However, these preventive strategies are often not addressed, despite being advocated in UTI guidelines. AIM: To identify barriers to and facilitators of discussing UTI prevention in primary care and to identify strategies to overcome these barriers. DESIGN & SETTING: Qualitative study in a primary care setting. METHOD: Semi-structured interviews were performed with GPs, doctor's assistants, and patients with a history of UTI to identify barriers to and facilitators of discussing UTI prevention. Deductive content analysis was employed, using the Theoretical Domains Framework to structure the interview guide and analyse the data. Subsequent focus groups were performed to identify strategies to overcome the barriers. RESULTS: Main barriers for all stakeholders included incomplete knowledge, prioritisation of treatment over prevention, and time pressure at the general practice. Additionally, general practices lacked protocols on when, which, and by whom preventive measures should be discussed. Healthcare professionals also assumed patients already held preventive knowledge and solely sought care to obtain antibiotics. The main facilitator was patient-initiated conversations about UTI. Strategies included enhancing knowledge, inviting patients to initiate conversations about UTI, and optimising the timing of preventive information dissemination. CONCLUSION: Barriers exist across behavioural, interpersonal, and organisational domains, but provide clear starting points for tailored interventions. The strategies offer promising directions for improving UTI prevention and reducing antimicrobial consumption.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Identifying and addressing UTI prevention barriers in primary care: a qualitative study
- Date Crossref
- 12/12/2025
- Éditeur
- Royal College of General Practitioners
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Leiden University Medical Center pays non établi dans la noticeOrganisme public
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University of Applied Sciences Leiden pays non établi dans la noticeUniversité ou école supérieure
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Netherlands Center for Occupational Diseases pays non établi dans la noticeStructure de recherche
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Amsterdam University Medical Centers pays non établi dans la noticeÉtablissement de santé
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Amsterdam institute for Immunology and Infectious Diseases pays non établi dans la noticeÉtablissement de santé
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University of Amsterdam pays non établi dans la noticeUniversité ou école supérieure
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Leiden University Centre for Infectious Diseases pays non établi dans la noticeUniversité ou école supérieure
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Leiden University Centre of Infectious Diseases (LUCID) pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Social and Behavioural Sciences Department of Health pays non établi dans la noticeUniversité ou école supérieure
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Public Health Campus the Hague and Leiden University Medical Centre Department of Public Health and Primary Care pays non établi dans la noticeUniversité ou école supérieure
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Amsterdam University Medical Centre Department of Internal Medicine pays non établi dans la noticeUniversité ou école supérieure
Leiden University Medical Center, University of Applied Sciences Leiden et Netherlands Center for Occupational Diseases, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.