IPAP-UTI v2

CPMS code:  58796

Lead Network: West of England

Study Summary

Antimicrobial resistance is a serious health problem caused by overuse of antibiotics, with most antibiotics prescribed by general practitioners (GPs), nurses and other prescribers in primary care. Primary care prescribers have recently been encouraged to prescribe nitrofurantoin instead of trimethoprim for urinary tract infections. Some studies suggest this reduced trimethoprim resistant rates, but not everywhere, and concerningly may have led to higher antibiotic resistance against other antibiotics. This study is part of a larger programme of research that intends to develop an intervention to reduce local trimethoprim resistance by promoting a switch to one of the recommended alternative antibiotics. In this study we aim to talk to those involved in developing local antibiotic prescribing guidelines and primary care prescribers to understand the barriers to and enablers of switching. We will purposively select up to 30 contributors to local antibiotic prescribing guidelines, 20 GPs and 20 prescribing allied health professionals (nurses, pharmacists or others) in primary care for semi-structured interviews, and up to 25 prescribing clinicians and contributors to local antibiotic prescribing guidelines for think aloud interviews. Participants will be asked to share their views and experiences of producing local prescribing guidelines and prescribing antibiotics for urinary tract infections, the potential issues around switching to alternative antibiotics, and feedback on our intervention elements. The interviews will be recorded and transcribed. The researcher will analyse the interview transcripts to find some common views and experiences in order to inform the development and refining of the intervention. 

The search files hosted on this website are based on the inclusion/exclusion criteria as described in the study protocol and have been built and tested with input from our GP Champion teams. Every effort is made to keep the search files  hosted here maintained and up-to-date. 

However, it is the responsibility of the Principal Investigator to review the search and make any practice specific amendments as deemed necessary*. 

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Disclaimer:

Please note the resources provided are designed to assist with the identification of potentially suitable patients and to appropriately code these patients if required.

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