The awareness of urinary tract infection management in pregnant women. A qualitative study
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Objectives: to identify knowledge, attitude, and practice of health providers including GPs and gynecologists to the implementation of the national guideline on the treatment of UTI among pregnant women.
Materials and Methods: A cross-sectional study design was used. Subjects were women who attended the International Sym-posium of UTI. Questionnaires consisting ofregarding demo-graphic characteristics, knowledge, attitude, and practice were given to the subjects. The questionnaires had been tested for valid-ity and reliability by applying the Pearson correlation and Cronbach's alpha test. Statistical analyses were performed using SPSS 23.0 for Windows.A two-tailed p value less than 0.05 was considered to be statistically significant.
Results: A total of 140 subjects were recruited in this study. Of these, 104 subjects (74.3%) returned the questionnaire, and 99 subjects (70.7%) were eligible for this study. Nine (9.1%), 69 (69.7%), and 21(21.2%) subjects had good, fair, and poor know-ledge, respectively. Sixty-five (65.7%) and 64 subjects (64.6%) showed a positive attitude and had positive practice, respectively.
Conclusion: Knowledge, attitude, and practice among respon-dents are good enough, despite only a few of them have read the updated guideline. Continuous medical education through online update or symposium may be one effective method to disseminate new update in guidelines.Foxman B. Epidemiology of urinary tract infec-tions: incidence, morbidity, and economic costs. The Am Jour of Med. 2002;113(1A):5S-13S.
Forxman B, Barlow R, D'Arcy H, et al. Urinary tract infection: Self-reported incidence and associa-ted costs. Am Epid. 2000;10(8):509-15.
Schappert SM and Burt CW. Ambulatory care visits to physician offices, hospital outpatient de-partments, and emergency departments United States, 2001-02. National Center for Health Statistics. Vital Health Stat. 2006;13:1-66.
Verheij LJ, Abrahamse H, Van den Hoogen H. Feitenencijfers over huisartsenzorg in Nederland Utrecht: Landelijk Informatie netwerk Huisartsen-zorg (LINH); 2004.
Ahmed MH. Effect of intervention guidelines on self-care practices of pregnant women with urinary tract infection. Life Sci Jour. 2015;12(1).
Himpunan Uroginekologi Indonesia. Pedoman Nasional Pelayanan Kedokteran (PNPK). Infeksi saluran kemih. 2015.
Lugtenberg M, Burgers JS, Schaick JMZ, Westert GP. Guidelines on uncomplicated urinary tract infections are difficult to follow: perceived barriers and suggested interventions. BMC Family Practice. 2010;11:51.
Trautner BW, Petersen NJ, Hysong SJ, et al. Overtreatment of asymptomatic bacteriuria: Identi-fying provider barriers to evidence-based care. American Journal of Infection Control. 2014; 42:653-8.
Stewart KE. An audit of management of acute uncomplicated lower UTI at a health centre in Central Scotland. Scottish Universities Medical Journal. 2012.
Grover ML, Bracamonte JD, Kanodia AK, et al. Assessing adherence to evidence-based guidelines for the diagnosis and management of uncomplica-ted urinary tract infection. Mayo Clin Proc. 2007; 82(2):181-185.
Grigoryan L, Zoorob R, Wang H, Trautner BW. Low concordance with guidelines for treatment of acute cystitis in primary care. Open Forum Infect Dis. 2015;2(4):159.
Wagenlehner FME, Weidner W, Naber KG. An update on uncomplicated urinary tract infections in women. Curr Opin Urol. 2009;19:368-74.
Mangin D, Toop L, Chambers S, et al. Increased rates of trimethoprim resistance in uncomplicated urinary tract infection: Cause for concern? NZ Med J. 2005;118:U1726.
Fischer F, Lange K, Klose K, et al. Barriers and strategies in guideline implementation-a scoping review. Healthcare. 2016;4:36.
Bjorkman I, Berg J, Viberg N, Lundborg CS. Awa-reness of antibiotic resistance and antibiotic pres-cribing in UTI treatment: A qualitative study among primary care physicians in Sweden. Scandi-navian Journal of Primary Health Care. 2013;31: 50-5.
Flach SD, Longenecker JC, Tape TG, et al. The relationship between treatment objectives and practice patterns in the management of urinary tract infections. Journal of the Society for Medical Deci-sion Making 2003;23:131–9.
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