Evidence map›Paper›PMID 31409404›Full record

ArticleBMC pregnancy and childbirth2019

Urinary tract infections and antibiotic use in pregnancy - qualitative analysis of online forum content.

Flavia Ghouri, Amelia Hollywood, Kath Ryan

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06962644 (Association of Urinary Tract Infection With Preeclampsia During Pregnancy), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06962644 recruitingnot on this mapstarted 2025, after this paper: background citation

Association of Urinary Tract Infection With Preeclampsia During Pregnancy

TypeobservationalSponsorPakistan Air Force (PAF) Hospital IslamabadRan2025 to 2025Enrolled160ConditionsUrinary Tract Infection (Diagnosis), PreeclampsiaArmsPreeclampsia developed
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Emergency department overcrowding and its associated factors at HARME medical emergency center in Eastern Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. 'There is no choice apart from antibiotics…': Qualitative analysis of views on urinary infections in pregnancy and antimicrobial resistance.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Flavia GhouriSchool of Pharmacy, University of Reading, Whiteknights, Reading, RG6 6UR, UK.
Amelia HollywoodSchool of Pharmacy, University of Reading, Whiteknights, Reading, RG6 6UR, UK. a.hollywood@reading.ac.uk.ORCID http://orcid.org/0000-0001-9670-2506
Kath RyanSchool of Pharmacy, University of Reading, Whiteknights, Reading, RG6 6UR, UK.
University of Reading · GB

Funding

University of Reading Studentship
6 · The paper itself

Abstract

backgroundAntibiotics are standard treatment for asymptomatic and symptomatic urinary tract infections (UTIs) in pregnancy. Their overuse, however, can contribute to antimicrobial resistance (AMR) and expose the foetus to drugs that might affect its development. Preventative behaviours are currently the best option to reduce incidences of UTIs and to avoid the use of antibiotics in pregnancy. The aim of this study was to explore women's experiences of UTIs in pregnancy to develop an understanding of their concerns and to optimise and encourage behaviours that facilitate appropriate use of antibiotics.

methodsAn online pregnancy forum in the United Kingdom (UK) was used to collect data on women's discussions of UTIs. A total of 202 individual threads generated by 675 different usernames were selected for analysis. The data was organised using NVivo 11® software and then analysed qualitatively using inductive thematic analysis.

resultsWomen's perceptions of UTIs and antibiotic use in pregnancy were driven by their pre-natal attachment to the foetus. UTIs were thought to be common and high risk in pregnancy, which meant that antibiotics were viewed as essential in the presence of suspected symptoms. The dominant view about antibiotics was that their use was safe and of little concern in pregnancy. Women reported an emotional reaction to developing a UTI. They coped by seeking information about behaviour change strategies to assist with recovery and through emotional support from the online forum.

conclusionsWomen face dual risks when they experience UTIs; the risk from the infection and the risk from antibiotic treatment. Pre-natal attachment to the foetus is highlighted in the decision making process. The focus is on the shorter term risk from UTIs while undermining the longer term risks from antibiotic use, especially the risk of AMR. A balanced view needs to be presented, and evidence-based infection prevention strategies should be promoted, to women to ensure appropriate antibiotic use in pregnancy, to address the global challenge of AMR.

Indexed as

Decision MakingHealth Knowledge, Attitudes, PracticeInternetAnti-Bacterial AgentsDrug Resistance, BacterialFemaleHumansPregnancyPregnancy Complications, InfectiousQualitative ResearchUnited KingdomUrinary Tract InfectionsAnti-Bacterial AgentsAntibioticsAntimicrobial resistanceOnline forumPregnancyPre-natal attachmentPreventionUrinary tract infection

Identifiers

PMID31409404
PMCPMC6693226
OpenAlexW2967359096

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.