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Awareness of antibiotic resistance and antibiotic prescribing in UTI treatment: A qualitative study among primary care physicians in Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
Departmen of Public Health Sciences, Division of Global Health, Karolinska Institutet.
Departmen of Public Health Sciences, Division of Global Health, Karolinska Institutet.
Departmen of Public Health Sciences, Division of Global Health, Karolinska Institutet.
2013 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 31, no 1, 50-55 p.Article in journal (Refereed) Published
Abstract [en]


To improve education and information for general practitioners in relation to rational antibiotic prescribing for urinary tract infection (UTI), it is important to be aware of GPs' views of resistance and how it influences their choice of UTI treatment. The aim of this study was to explore variations in views of resistance and UTI treatment decisions among general practitioners (GPs) in a county in Sweden.


Qualitative, semi-structured interviews were analysed with a phenomenographic approach and content analysis.


Primary care in Kronoberg, a county in southern Sweden.


A purposeful sample of 20 GPs from 15 of 25 health centres in the county.

Main outcome measures.

The variation of perceptions of antibiotic resistance in UTI treatment. How UTIs were treated according to the GPs.


Three different ways of viewing resistance in UTI treatment were identified. These were: (A) No problem, I have never seen resistance, (B) The problem is bigger somewhere else, and (C) The development of antibiotic resistance is serious and we must be careful. Moreover, GPs' perceptions of antibiotic resistance were mirrored in how they reported their treatment of UTIs in practice.


There was a hierarchal scale of how GPs viewed resistance as an issue in UTI treatment. Only GPs who expressed concerns about resistance followed prescribing guidelines completely. This offers valuable insights into the planning and most likely the outcome of awareness or educational activities aimed at changed antibiotic prescribing behaviour.

Place, publisher, year, edition, pages
2013. Vol. 31, no 1, 50-55 p.
Keyword [en]
Antibiotics, bacterial resistance, general practice, general practitioners, interviews, urinary tract infection, Sweden, views
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-191830DOI: 10.3109/02813432.2012.751695ISI: 000314653700011PubMedID: 23281925OAI: oai:DiVA.org:uu-191830DiVA: diva2:587247
Available from: 2013-01-14 Created: 2013-01-14 Last updated: 2013-03-13Bibliographically approved

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