ArticleBMC family practice2010
Guidelines on uncomplicated urinary tract infections are difficult to follow: perceived barriers and suggested interventions.
Article in BMC family practice, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05847036 (Profiles of Urinary Tract Infections in General Practice), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Profiles of Urinary Tract Infections in General Practice : a Prospective Multicentre Cohort Study
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Primary care practitioners' experiences managing urinary tract infections: a qualitative evidence synthesis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Pooled it
- Current and emerging strategies to curb antibiotic-resistant urinary tract infections.Nature reviews. Urology · 2024Review
- GPs' experience with diagnosis and treatment guidelines for lower UTI in men: a qualitative interview.BJGP open · 2024Article
- Adherence to and usefulness of the national treatment guideline for urinary tract infections (UTI) in a risk area.BMC primary care · 2022Article
- Prescribing antibiotics: the use of diagnostic tests in general practice. A register-based study.Scandinavian journal of primary health care · 2021Article
- Changes in the management of urinary tract infections in women: impact of the new recommendations on antibiotic prescribing behavior in France, between 2014 and 2019.BMC health services research · 2021Article
- A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis.Scandinavian journal of primary health care · 2020Article
- Barriers and enablers for the implementation of clinical practice guidelines in China: a mixed-method study.BMJ open · 2019Article
- Urine cultures and antibiotics for urinary tract infections in Dutch general practice.Primary health care research & development · 2018Article
- Antibiotic-Resistant E. coli in Uncomplicated Community-Acquired Urinary Tract Infection.Deutsches Arzteblatt international · 2018Article
- Article
- Optimizing the language and format of guidelines to improve guideline uptake.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016Article
- Barriers and Strategies in Guideline Implementation-A Scoping Review.Healthcare (Basel, Switzerland) · 2016Article
- [Adequacy of requesting urine cultures and their impact on urinary tract infection treatment in primary care].Atencion primaria · 2014Article
- Antimicrobial management and appropriateness of treatment of urinary tract infection in general practice in Ireland.BMC family practice · 2011Article
- Perceived barriers to guideline adherence: a survey among general practitioners.BMC family practice · 2011Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUrinary tract infections (UTI) are among the most common health problems seen in general practice. Evidence-based guidelines on UTI are available, but adherence to these guidelines varies widely among practitioners for reasons not well understood. The aim of this study was to identify the barriers to the implementation of a guideline on UTI perceived by Dutch general practitioners (GPs) and to explore interventions to overcome these barriers.
methodsA focus group study, including 13 GPs working in general practices in the Netherlands, was conducted. Key recommendations on diagnosis and treatment of uncomplicated UTI were selected from the guideline. Barriers to guideline adherence and possible interventions to address these barriers were discussed. The focus group session was audio-taped and transcribed verbatim. Barriers were classified according to an existing framework.
resultsLack of agreement with the recommendations, unavailable and inconvenient materials (i.e. dipslides), and organisational constraints were perceived as barriers for the diagnostic recommendations. Barriers to implementing the treatment recommendations were lack of applicability and organisational constraints related to the availability of drugs in pharmacies. Suggested interventions were to provide small group education to GPs and practice staff members, to improve organisation and coordination of care in out of hour services, to improve the availability of preferred dosages of drugs, and to pilot-test guidelines regionally.
conclusionsDespite sufficient knowledge of the recommendations on UTI, attitudinal and external barriers made it difficult to follow them in practice. The care concerning UTI could be optimized if these barriers are adequately addressed in implementation strategies. The feasibility and success of these strategies could be improved by involving the target group of the guideline in selecting useful interventions to address the barriers to implementation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.