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Women’s views about management and cause of urinary tract infection: qualitative interview study

Women’s views about management and cause of urinary tract infection: qualitative interview study
Women’s views about management and cause of urinary tract infection: qualitative interview study
Objectives: to explore the views of women with urinary tract infection on the acceptability of different strategies for managing the infection, including delayed use of antibiotics, and the cause of infection.

Design: qualitative interview study with semistructured one to one interviews within a randomised controlled trial of different management strategies. Analysis drew on some of the principles of constant comparison to generate key themes grounded in reported experiences and understandings.

Setting: seven general practices across four counties in southern England.

Participants: 21 women presenting to general practices who were taking part in the larger trial.

Results: women preferred not to take antibiotics and were open to alternative management approaches. With a strategy of "antibiotic delay" some women felt a lack of validation or that they were not listened to by their general practitioner. Women attributed urinary tract infection to lifestyle habits and behaviours, such as poor hygiene, general "negligence," and even a "penalty of growing old."

Conclusion: a clear acknowledgment of women’s triggers to consult is needed. If women are asked to delay taking antibiotics, the clinician must address the particular worries that women might have and explain the rationale for not using antibiotics immediately
0959-8138
c279
Leydon, G.M.
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Turner, S.
42f19397-8e9f-435d-a348-2cc1639b5eb4
Smith, H.
cc42a332-71ec-436f-8207-9151275a92d8
Little, P.
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Hawke, C.
a10de6c7-ee96-4ea1-aa75-571dd87d1e63
Lowes, J.
bc8a6cd5-f5ed-4526-975c-9fa77ff49d56
Martinson, K
2002ee8a-32ac-4119-869d-ed35164c3b51
Moore, M.V.
1be81dad-7120-45f0-bbed-f3b0cc0cfe99
Mullee, M.A.
fd3f91c3-5e95-4f56-8d73-260824eeb362
Turner, D.
dbe8594a-d211-4efe-abec-46a6e0451623
Warner, G.
a7c8d450-67a4-46c9-ad1e-4a17d6816590
and on behalf of the UTIS team
Leydon, G.M.
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Turner, S.
42f19397-8e9f-435d-a348-2cc1639b5eb4
Smith, H.
cc42a332-71ec-436f-8207-9151275a92d8
Little, P.
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Hawke, C.
a10de6c7-ee96-4ea1-aa75-571dd87d1e63
Lowes, J.
bc8a6cd5-f5ed-4526-975c-9fa77ff49d56
Martinson, K
2002ee8a-32ac-4119-869d-ed35164c3b51
Moore, M.V.
1be81dad-7120-45f0-bbed-f3b0cc0cfe99
Mullee, M.A.
fd3f91c3-5e95-4f56-8d73-260824eeb362
Turner, D.
dbe8594a-d211-4efe-abec-46a6e0451623
Warner, G.
a7c8d450-67a4-46c9-ad1e-4a17d6816590

Leydon, G.M., Turner, S., Smith, H., Little, P., Hawke, C., Lowes, J., Martinson, K, Moore, M.V., Mullee, M.A., Turner, D. and Warner, G. , and on behalf of the UTIS team (2010) Women’s views about management and cause of urinary tract infection: qualitative interview study. BMJ, 340, c279. (doi:10.1136/bmj.c279). (PMID:20139217)

Record type: Article

Abstract

Objectives: to explore the views of women with urinary tract infection on the acceptability of different strategies for managing the infection, including delayed use of antibiotics, and the cause of infection.

Design: qualitative interview study with semistructured one to one interviews within a randomised controlled trial of different management strategies. Analysis drew on some of the principles of constant comparison to generate key themes grounded in reported experiences and understandings.

Setting: seven general practices across four counties in southern England.

Participants: 21 women presenting to general practices who were taking part in the larger trial.

Results: women preferred not to take antibiotics and were open to alternative management approaches. With a strategy of "antibiotic delay" some women felt a lack of validation or that they were not listened to by their general practitioner. Women attributed urinary tract infection to lifestyle habits and behaviours, such as poor hygiene, general "negligence," and even a "penalty of growing old."

Conclusion: a clear acknowledgment of women’s triggers to consult is needed. If women are asked to delay taking antibiotics, the clinician must address the particular worries that women might have and explain the rationale for not using antibiotics immediately

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More information

Published date: 5 February 2010
Organisations: Community Clinical Sciences, Primary Care & Population Sciences

Identifiers

Local EPrints ID: 152937
URI: http://eprints.soton.ac.uk/id/eprint/152937
ISSN: 0959-8138
PURE UUID: 5778731c-097b-4edc-a020-51ad4aee0716
ORCID for G.M. Leydon: ORCID iD orcid.org/0000-0001-5986-3300
ORCID for K Martinson: ORCID iD orcid.org/0000-0002-8573-3718
ORCID for M.V. Moore: ORCID iD orcid.org/0000-0002-5127-4509

Catalogue record

Date deposited: 17 May 2010 15:31
Last modified: 14 Mar 2024 02:50

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Contributors

Author: G.M. Leydon ORCID iD
Author: S. Turner
Author: H. Smith
Author: P. Little
Author: C. Hawke
Author: J. Lowes
Author: K Martinson ORCID iD
Author: M.V. Moore ORCID iD
Author: M.A. Mullee
Author: D. Turner
Author: G. Warner
Corporate Author: and on behalf of the UTIS team

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