Danish GPs' Experiences When Managing Patients Presenting to General Practice with Symptoms of Acute Lower Respiratory Tract Infections: A Qualitative Study

Research output: Contribution to journalJournal articlepeer-review

Standard

Danish GPs' Experiences When Managing Patients Presenting to General Practice with Symptoms of Acute Lower Respiratory Tract Infections : A Qualitative Study. / Bisgaard, Lise; Andersen, Camilla Aakjaer; Jensen, Morten Sig Ager; Bjerrum, Lars; Hansen, Malene Plejdrup.

In: Antibiotics, Vol. 10, No. 6, 661, 06.2021.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Bisgaard, L, Andersen, CA, Jensen, MSA, Bjerrum, L & Hansen, MP 2021, 'Danish GPs' Experiences When Managing Patients Presenting to General Practice with Symptoms of Acute Lower Respiratory Tract Infections: A Qualitative Study', Antibiotics, vol. 10, no. 6, 661. https://doi.org/10.3390/antibiotics10060661

APA

Bisgaard, L., Andersen, C. A., Jensen, M. S. A., Bjerrum, L., & Hansen, M. P. (2021). Danish GPs' Experiences When Managing Patients Presenting to General Practice with Symptoms of Acute Lower Respiratory Tract Infections: A Qualitative Study. Antibiotics, 10(6), [661]. https://doi.org/10.3390/antibiotics10060661

Vancouver

Bisgaard L, Andersen CA, Jensen MSA, Bjerrum L, Hansen MP. Danish GPs' Experiences When Managing Patients Presenting to General Practice with Symptoms of Acute Lower Respiratory Tract Infections: A Qualitative Study. Antibiotics. 2021 Jun;10(6). 661. https://doi.org/10.3390/antibiotics10060661

Author

Bisgaard, Lise ; Andersen, Camilla Aakjaer ; Jensen, Morten Sig Ager ; Bjerrum, Lars ; Hansen, Malene Plejdrup. / Danish GPs' Experiences When Managing Patients Presenting to General Practice with Symptoms of Acute Lower Respiratory Tract Infections : A Qualitative Study. In: Antibiotics. 2021 ; Vol. 10, No. 6.

Bibtex

@article{b4ea428d710944f19eced8181b6afc68,
title = "Danish GPs' Experiences When Managing Patients Presenting to General Practice with Symptoms of Acute Lower Respiratory Tract Infections: A Qualitative Study",
abstract = "One of the most common indications for antibiotic prescribing in general practice is acute lower respiratory tract infections (LRTI). This study aimed to explore general practitioners' (GPs') considerations and experiences when managing patients with symptoms of an acute LRTI. Individual semi-structured interviews were conducted with seven GPs in the North Denmark Region from January to March 2020. Data were analysed by means of systematic text condensation. The analysis revealed four themes: (1) practicalities of assessing patients with LRTI, (2) assessment of the patient, (3) treatment decisions, and (4) patient expectations. The GPs described having developed individual diagnostic strategies and routines when managing patients with symptoms of an acute LRTI. However, a general assessment of the patient was essential to all the GPs and the diagnosis was seldom based on a single symptom or finding. Most GPs described having great faith in abnormal lung auscultation. The use of C-reactive protein testing served several purposes, such as deciding on the severity of the infection, prescribing antibiotics or not, and as a communicative tool. Diagnostic uncertainty is a driver of antibiotic use and clinical practice might benefit from the development of clinical prediction rules for diagnosing pneumonia.",
keywords = "general practice, acute lower respiratory tract infection, antibiotics, qualitative study, COMMUNITY-ACQUIRED PNEUMONIA, CARE, DIAGNOSIS, MANAGEMENT, STANDARDS, ADULTS",
author = "Lise Bisgaard and Andersen, {Camilla Aakjaer} and Jensen, {Morten Sig Ager} and Lars Bjerrum and Hansen, {Malene Plejdrup}",
year = "2021",
month = jun,
doi = "10.3390/antibiotics10060661",
language = "English",
volume = "10",
journal = "Antibiotics",
issn = "2079-6382",
publisher = "M D P I AG",
number = "6",

}

RIS

TY - JOUR

T1 - Danish GPs' Experiences When Managing Patients Presenting to General Practice with Symptoms of Acute Lower Respiratory Tract Infections

T2 - A Qualitative Study

AU - Bisgaard, Lise

AU - Andersen, Camilla Aakjaer

AU - Jensen, Morten Sig Ager

AU - Bjerrum, Lars

AU - Hansen, Malene Plejdrup

PY - 2021/6

Y1 - 2021/6

N2 - One of the most common indications for antibiotic prescribing in general practice is acute lower respiratory tract infections (LRTI). This study aimed to explore general practitioners' (GPs') considerations and experiences when managing patients with symptoms of an acute LRTI. Individual semi-structured interviews were conducted with seven GPs in the North Denmark Region from January to March 2020. Data were analysed by means of systematic text condensation. The analysis revealed four themes: (1) practicalities of assessing patients with LRTI, (2) assessment of the patient, (3) treatment decisions, and (4) patient expectations. The GPs described having developed individual diagnostic strategies and routines when managing patients with symptoms of an acute LRTI. However, a general assessment of the patient was essential to all the GPs and the diagnosis was seldom based on a single symptom or finding. Most GPs described having great faith in abnormal lung auscultation. The use of C-reactive protein testing served several purposes, such as deciding on the severity of the infection, prescribing antibiotics or not, and as a communicative tool. Diagnostic uncertainty is a driver of antibiotic use and clinical practice might benefit from the development of clinical prediction rules for diagnosing pneumonia.

AB - One of the most common indications for antibiotic prescribing in general practice is acute lower respiratory tract infections (LRTI). This study aimed to explore general practitioners' (GPs') considerations and experiences when managing patients with symptoms of an acute LRTI. Individual semi-structured interviews were conducted with seven GPs in the North Denmark Region from January to March 2020. Data were analysed by means of systematic text condensation. The analysis revealed four themes: (1) practicalities of assessing patients with LRTI, (2) assessment of the patient, (3) treatment decisions, and (4) patient expectations. The GPs described having developed individual diagnostic strategies and routines when managing patients with symptoms of an acute LRTI. However, a general assessment of the patient was essential to all the GPs and the diagnosis was seldom based on a single symptom or finding. Most GPs described having great faith in abnormal lung auscultation. The use of C-reactive protein testing served several purposes, such as deciding on the severity of the infection, prescribing antibiotics or not, and as a communicative tool. Diagnostic uncertainty is a driver of antibiotic use and clinical practice might benefit from the development of clinical prediction rules for diagnosing pneumonia.

KW - general practice

KW - acute lower respiratory tract infection

KW - antibiotics

KW - qualitative study

KW - COMMUNITY-ACQUIRED PNEUMONIA

KW - CARE

KW - DIAGNOSIS

KW - MANAGEMENT

KW - STANDARDS

KW - ADULTS

U2 - 10.3390/antibiotics10060661

DO - 10.3390/antibiotics10060661

M3 - Journal article

C2 - 34205866

VL - 10

JO - Antibiotics

JF - Antibiotics

SN - 2079-6382

IS - 6

M1 - 661

ER -

ID: 273531296