ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020
Optimising management of UTIs in primary care: a qualitative study of patient and GP perspectives to inform the development of an evidence-based, shared decision-making resource.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- 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
- Do individual or societal consequences matter more? Reducing antibiotic expectations for uncomplicated urinary tract infections in females.British journal of health psychology · 2026Article
- Pharmacists' Management of Urinary Tract Infection Symptoms in Community Pharmacy: Counseling Practices and Attitudes Toward Antibiotic Therapy.Pharmacy (Basel, Switzerland) · 2026Article
- Article
- Women's experiences of the assessment and management of urinary tract infections during the COVID-19 pandemic: a qualitative analysis of free-text comments from a national survey in England.JAC-antimicrobial resistance · 2025Article
- "Antibiotics (Basel, Switzerland) · 2025Article
- Determinants of Implementation of Antimicrobial Stewardship Interventions for Managing Community Adult Acute Respiratory Infections: Qualitative Analysis from the OPTIMAS-GP Study Co-Design Phase.Antibiotics (Basel, Switzerland) · 2025Article
- Living With and Managing Uncomplicated Urinary Tract Infection: Mixed Methods Analysis of Patient Insights From Social Media.Journal of medical Internet research · 2025Article
- AI driven decision support reduces antibiotic mismatches and inappropriate use in outpatient urinary tract infections.NPJ digital medicine · 2025Article
- General practitioners' decision making managing uncomplicated urinary tract infections in women: a qualitative study.BJGP open · 2024Article
- Qualitative study on shared decision making in cystitis management in general practice.BJGP open · 2024Article
- U.S. primary care physician perceptions on barriers to providing guideline-driven care for UTI and recurrent UTI: a qualitative study.BMC primary care · 2024Article
- Article
- Management of urinary tract infections in the community: a clinical audit and patient survey.BJGP open · 2023Article
- Nitrofurantoin: what is the evidence for current UK guidance?The Journal of antimicrobial chemotherapy · 2023Review
- Preferences for Public Health Messaging Related to Bladder Health in Adolescent and Adult Women.Journal of women's health (2002) · 2023Article
- Responding to Urinary Tract Infection Symptoms in England's Community Pharmacies.Antibiotics (Basel, Switzerland) · 2023Article
- Impact of Menopausal Status and Recurrent UTIs on Symptoms, Severity, and Daily Life: Findings from an Online Survey of Women Reporting a Recent UTI.Antibiotics (Basel, Switzerland) · 2023Article
- Unmet needs in uncomplicated urinary tract infection in the United States and Germany: a physician survey.BMC infectious diseases · 2023Article
- Association between antihypertensive medication and the risk of urinary tract infection (UTI) of outpatients: a retrospective cohort study.Infection · 2023Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUrinary tract infections (UTIs) are one of the most common bacterial infections managed in general practice. Many women with symptoms of uncomplicated UTI may not benefit meaningfully from antibiotic treatment, but the evidence base is complex and there is no suitable shared decision-making resource to guide antibiotic treatment and symptomatic care for use in general practice consultations.
aimTo develop an evidence-based, shared decision-making intervention leaflet to optimise management of uncomplicated UTI for women aged <65 years in the primary care setting. DESIGN AND
settingQualitative telephone interviews with GPs and patient focus group interviews.
methodIn-depth interviews were conducted to explore how consultation discussions around diagnosis, antibiotic use, self-care, safety netting, and prevention of UTI could be improved. Interview schedules were based on the Theoretical Domains Framework.
resultsBarriers to an effective joint consultation and appropriate prescribing included: lack of GP time, misunderstanding of depth of knowledge and miscommunication between the patient and the GP, nature of the consults (such as telephone consultations), and a history of previous antibiotic therapy.
conclusionConsultation time pressures combined with late symptom presentation are a challenge for even the most experienced of GPs: however, it is clear that enhanced patient-clinician shared decision making is urgently required when it comes to UTIs. This communication should incorporate the provision of self-care, safety netting, and preventive advice to help guide patients when to consult. A shared decision-making information leaflet was iteratively co-produced with patients, clinicians, and researchers at Public Health England using study data.
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