TY - JOUR
T1 - Guideline Adherence of Asymptomatic Bacteriuria Could Be Improved among General Practitioners in The Netherlands
T2 - A Survey Study
AU - van Horrik, Tessa M. Z. X. K.
AU - Laan, Bart J.
AU - Platteel, Tamara N.
AU - Geerlings, Suzanne E.
N1 - Funding Information: Funding: This study is supported by The Netherlands Organization for Health Research and Development (ZonMw) grant number 839205002. They had no role in the study design or analysis. Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - Asymptomatic bacteriuria (ASB) is a common finding in certain populations. This study assessed general practitioners’ (GPs’) knowledge about ASB and their current clinical practice regarding urine testing. Methods: An online survey was used for GPs in the Netherlands from October to December 2020. Results: In total, 99 surveys were included in the analyses. All GPs strongly agreed with the statements about their knowledge and self-confidence regarding urine diagnostics and treatment of ASB. The median knowledge score was 4 out of 6 (IQR 2 to 6). Most GPs (64 of 92; 70%) followed the guideline for the choice of urine diagnostics and reported appropriate indications for urine testing. However, 71/94 (75.5%) GPs would treat patients for ASB if they have diabetes mellitus. Further, 34 (37%) of 92 participants would inappropriately repeat a urine test after a patient was treated for a urinary tract infection (UTI). One-third of the GPs responded that ASB was insufficiently addressed within the guidelines for UTI. Conclusion: These results indicate that knowledge about ASB could be improved in primary care in the Netherlands, mainly in diabetic patients that have ASB, as well as for follow-up tests after treatment for UTI.
AB - Asymptomatic bacteriuria (ASB) is a common finding in certain populations. This study assessed general practitioners’ (GPs’) knowledge about ASB and their current clinical practice regarding urine testing. Methods: An online survey was used for GPs in the Netherlands from October to December 2020. Results: In total, 99 surveys were included in the analyses. All GPs strongly agreed with the statements about their knowledge and self-confidence regarding urine diagnostics and treatment of ASB. The median knowledge score was 4 out of 6 (IQR 2 to 6). Most GPs (64 of 92; 70%) followed the guideline for the choice of urine diagnostics and reported appropriate indications for urine testing. However, 71/94 (75.5%) GPs would treat patients for ASB if they have diabetes mellitus. Further, 34 (37%) of 92 participants would inappropriately repeat a urine test after a patient was treated for a urinary tract infection (UTI). One-third of the GPs responded that ASB was insufficiently addressed within the guidelines for UTI. Conclusion: These results indicate that knowledge about ASB could be improved in primary care in the Netherlands, mainly in diabetic patients that have ASB, as well as for follow-up tests after treatment for UTI.
KW - Antimicrobial stewardship
KW - Asymptomatic bacteriuria
KW - Diagnostic stewardship
KW - General practice
KW - Urinary tract infection
UR - http://www.scopus.com/inward/record.url?scp=85122656083&partnerID=8YFLogxK
U2 - https://doi.org/10.3390/antibiotics11010075
DO - https://doi.org/10.3390/antibiotics11010075
M3 - Article
C2 - 35052953
SN - 2079-6382
VL - 11
JO - Antibiotics
JF - Antibiotics
IS - 1
M1 - 75
ER -