Use of diagnostic tests and the appropriateness of the treatment decision in patients with suspected urinary tract infection in primary care in Denmark – observational study

摘要: Inappropriate prescription of antibiotics is the leading driver antimicrobial resistance (AMR). The majority are prescribed in primary care. Understanding how general practitioners (GPs) use diagnostic tests and effect on treatment decision under daily practice conditions important to reduce inappropriate antibiotics. aim study was investigate care patients with suspected urinary tract infection (UTI) assess appropriateness (TD) Denmark. Prospective observational study. Symptomatic adult consulting UTI recruited over 12 months. workup registered a standardized form. TD assessed based results culture performed at reference microbiological laboratory. considered appropriate if patient had positive or negative not (overtreatment) (undertreatment). Four hundred eighty-eight were included. Dipstick used 98% urine 89% patients; 317 117 hospital. final significantly (p = 0.04) lower without (55%) than (71%) hospital (69%). In context wide availability tests, GPs for decision-making process all UTI. Urine associated higher proportion decisions. Performance therefore reducing antibiotic prescribing seeking ClinicalTrials.gov NCT02249273 .