Evidence map›Paper›PMID 35584871›Full record

ArticleBMJ open2022

Cross-sectional internet survey exploring women's knowledge, attitudes and practice regarding urinary tract infection-related symptoms in the Netherlands.

Stefan Martinus Leonardus Cox, Minke W E M van Hoof, Kelly Lo-A-Foe, Geert-Jan Dinant, Guy J Oudhuis, Paul Savelkoul, Jochen W L Cals, Eefje G P M de Bont

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Stefan Martinus Leonardus CoxGeneral Practice, Maastricht University, Maastricht, The Netherlands s.cox@maastrichtuniversity.nl.ORCID 0000-0001-6804-936X
Minke W E M van HoofGeneral Practice, Maastricht University, Maastricht, The Netherlands.
Kelly Lo-A-FoeGeneral Practice, Maastricht University, Maastricht, The Netherlands.
Geert-Jan DinantGeneral Practice, Maastricht University, Maastricht, The Netherlands.
Guy J OudhuisMedical Microbiology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Paul SavelkoulMedical Microbiology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Jochen W L CalsGeneral Practice, Maastricht University, Maastricht, The Netherlands.
Eefje G P M de BontGeneral Practice, Maastricht University, Maastricht, The Netherlands.
Maastricht University · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesUrinary tract infections (UTIs) are the most prevalent cause for women to consult a general practitioner (GP) and are commonly treated with (broad-spectrum) empirical antibiotics, even though 50% of UTIs are self-limiting. In this study, we aim to explore women's attitudes and experiences regarding UTIs, in order to determine patients' willingness to accept delayed antibiotic prescriptions.

designAn internet-based cross-sectional survey

settingWe recruited participants during 2 weeks of March and April in 2020 through several social media platforms.

participantsWe obtained 1476 responses, of which 975 were eligible for analysis.

resultsWe asked women about their knowledge, attitudes and practice regarding UTI-related symptoms. Participants ranked 'confirmation of diagnosis' (43.8%) as the most important reason to consult a GP with urinary symptoms, followed by 'pain relief' (32%), and 'antibiotic prescription' (14.3%). For treatment, 71% of participants reported that their GP prescribed immediate antibiotics, while only 3% received a delayed antibiotic prescription and 1% was advised pain medication. Furthermore, 50% of respondents were aware of the possible self-limiting course of UTIs and 70% would be willing to accept delayed antibiotic treatment, even if a certain diagnosis of UTI was established. Willingness to delay was lower in experienced patients compared to inexperienced patients.

conclusionsWomen are quite receptive to delayed antibiotics as an alternative to immediate antibiotics for UTIs or urinary symptoms. GPs should consider discussing delayed antibiotic treatment more often with women presenting with urinary symptoms.

Indexed as

Health Knowledge, Attitudes, PracticeUrinary Tract InfectionsAnti-Bacterial AgentsCross-Sectional StudiesFemaleHumansInternetNetherlandsPainAnti-Bacterial AgentsGENERAL MEDICINE (see Internal Medicine)PRIMARY CAREUrinary tract infections

Identifiers

PMID35584871
PMCPMC9119184
OpenAlexW4280524610

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.