Gaps in communication between different staff groups and older adult patients foster unnecessary antibiotic prescribing for urinary tract infections in hospitals: a qualitative translation approach.

ABSTRACT:

Background

Studies have reported large scale overprescribing of antibiotics for urinary tract infection (UTI) in hospitalised older adults. Older adults often have asymptomatic bacteriuria, and clinicians have been found to diagnose UTIs inappropriately based on vague symptoms and positive urinalysis and microbiology. However, the joined perspectives of different staff groups and older adult patients on UTI diagnosis have not been investigated.

Methods

Thematic analysis of qualitative interviews with healthcare staff (n = 27) and older adult patients (n = 14) in two UK hospitals.

Results

Interviews featured a recurrent theme of discrepant understandings and gaps in communication or translation between different social groups in three key forms: First, be

SUBMITTER: Saukko PM 

PROVIDER: S-EPMC6683464 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature