Titre
Exploration of the Acceptance of the Use of Procalcitonin Point-of-Care Testing and Lung Ultrasonography by General Practitioners to Decide on Antibiotic Prescriptions for Lower Respiratory Infections: A Qualitative Study.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Geis, D.
Auteure/Auteur
Canova, N.
Auteure/Auteur
Lhopitallier, L.
Auteure/Auteur
Kronenberg, A.
Auteure/Auteur
Meuwly, J.Y.
Auteure/Auteur
Senn, N.
Auteure/Auteur
Mueller, Y.
Auteure/Auteur
Fasseur, F.
Auteure/Auteur
Boillat-Blanco, N.
Auteure/Auteur
Liens vers les personnes
ISSN
2044-6055
Statut éditorial
Publié
Date de publication
2023-05-11
Volume
13
Numéro
5
Première page
e063922
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Publication Status: epublish
Résumé
We aimed to explore the acceptance and opinions of general practitioners (GPs) on the use of procalcitonin point-of-care and lung ultrasonography for managing patients with lower respiratory tract infections in primary care. We suppose that there are several factors that can influence the physician's antibiotic prescribing decision, and the implementation of a new tool will only be possible when it can be inserted into the physician's daily practice, helping him/her in the decision-making process.
Semistructured interviews; data analysis using the grounded theory method.
Lausanne, Switzerland.
12 GPs who participated in the randomised clinical trial UltraPro, which evaluated the impact of the use of procalcitonin only or an algorithm combining procalcitonin and lung ultrasonography on antibiotic prescription.
GPs had mostly positive attitudes towards the use of point-of-care procalcitonin in lower respiratory tract infections and uncertainties regarding the usefulness of ultrasonography. Physicians' prescribing decisions result from interactions between three kinds of TrustS (core category): 'self-confidence', 'trust in the results' and 'trust in the doctor-patient relationship'. Procalcitonin reinforced the three levels of trust, while ultrasonography only strengthened the physician-patient relationship. To facilitate implementation of procalcitonin, physicians pointed out the need of coverage by insurance and of clear guidelines describing the targeted patient population.
Our data show that there is a preference for the implementation of procalcitonin rather than lung ultrasonography for the management of patients with lower respiratory tract infections in primary care. Coverage by insurance plans and updated guidelines are prerequisite to the successful implementation of procalcitonin testing in primary care.
NCT03191071.
Semistructured interviews; data analysis using the grounded theory method.
Lausanne, Switzerland.
12 GPs who participated in the randomised clinical trial UltraPro, which evaluated the impact of the use of procalcitonin only or an algorithm combining procalcitonin and lung ultrasonography on antibiotic prescription.
GPs had mostly positive attitudes towards the use of point-of-care procalcitonin in lower respiratory tract infections and uncertainties regarding the usefulness of ultrasonography. Physicians' prescribing decisions result from interactions between three kinds of TrustS (core category): 'self-confidence', 'trust in the results' and 'trust in the doctor-patient relationship'. Procalcitonin reinforced the three levels of trust, while ultrasonography only strengthened the physician-patient relationship. To facilitate implementation of procalcitonin, physicians pointed out the need of coverage by insurance and of clear guidelines describing the targeted patient population.
Our data show that there is a preference for the implementation of procalcitonin rather than lung ultrasonography for the management of patients with lower respiratory tract infections in primary care. Coverage by insurance plans and updated guidelines are prerequisite to the successful implementation of procalcitonin testing in primary care.
NCT03191071.
Sujets
PID Serval
serval:BIB_B076CEBDA2E3
PMID
Open Access
Oui
Date de création
2023-05-15T11:47:03.213Z
Date de création dans IRIS
2025-05-20T23:41:33Z
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Nom
37169498_BIB_B076CEBDA2E3.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
619.42 KB
Format
Adobe PDF
PID Serval
serval:BIB_B076CEBDA2E3.P001
URN
urn:nbn:ch:serval-BIB_B076CEBDA2E39
Somme de contrôle
(MD5):c85f59cc50bc23d86c5640a31db414fd