'There is no choice apart from antibiotics...': Qualitative analysis of views on urinary infections in pregnancy and antimicrobial resistance.

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  • Additional Information
    • Affiliation:
      School of Pharmacy, University of Reading, Reading, UK
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: Antimicrobial resistance (AMR) is a health risk as it can lead to life‐threatening infections. There has been a rise in resistant urinary tract infections (UTIs) which is the most common infection in pregnancy. This can be challenging in pregnancy due to the additional need to safeguard foetal development. The study's aim was to explore views about AMR in women who experienced UTIs in pregnancy. Design: Fifteen semi‐structured interviews were conducted in the UK and analysed using thematic analysis. Results: Results highlighted two themes: conceptualization of AMR and pregnancy as a deviation from the norm, with an overarching theme of 'self‐efficacy'. Results show that participants were concerned about AMR but uncertain about the effect on society compared to individual's taking antibiotics and about completing antibiotic courses. Participants reported an unsparing use of antibiotics was justified in pregnancy, and behaviours like drinking adequate water were ineffective at preventing UTIs. In summary, women had low self‐efficacy regards tackling AMR and managing their health. Conclusion: Misconceptions about how AMR affects society vs the individual translated into viewing it as a future problem to be tackled by the health‐care sector. Consequently, AMR requires reconceptualization as a current problem requiring collective action. This research also indicates women endorse a biomedical model of UTIs in pregnancy which attributes resolving illness to interventions such as medicines, implying an automatic reliance on antibiotics. Subsequently, there is a need for self‐efficacy by focusing on a behavioural model which emphasizes behaviours for infection prevention, thus reducing the need for antibiotics.
    • Journal Subset:
      Europe; Health Services Administration; Peer Reviewed; UK & Ireland
    • Special Interest:
      Women's Health
    • ISSN:
      1369-6513
    • MEDLINE Info:
      NLM UID: 9815926
    • Publication Date:
      20200701
    • Publication Date:
      20200701
    • DOI:
      http://dx.doi.org/10.1111/hex.13044
    • Accession Number:
      144279120
  • Citations
    • ABNT:
      GHOURI, F.; HOLLYWOOD, A.; RYAN, K. “There is no choice apart from antibiotics...”: Qualitative analysis of views on urinary infections in pregnancy and antimicrobial resistance. Health Expectations, [s. l.], v. 23, n. 3, p. 644–650, 2020. DOI 10.1111/hex.13044. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144279120. Acesso em: 12 ago. 2020.
    • AMA:
      Ghouri F, Hollywood A, Ryan K. “There is no choice apart from antibiotics...”: Qualitative analysis of views on urinary infections in pregnancy and antimicrobial resistance. Health Expectations. 2020;23(3):644-650. doi:10.1111/hex.13044
    • APA:
      Ghouri, F., Hollywood, A., & Ryan, K. (2020). “There is no choice apart from antibiotics...”: Qualitative analysis of views on urinary infections in pregnancy and antimicrobial resistance. Health Expectations, 23(3), 644–650. https://doi.org/10.1111/hex.13044
    • Chicago/Turabian: Author-Date:
      Ghouri, Flavia, Amelia Hollywood, and Kath Ryan. 2020. “‘There Is No Choice Apart from Antibiotics...’: Qualitative Analysis of Views on Urinary Infections in Pregnancy and Antimicrobial Resistance.” Health Expectations 23 (3): 644–50. doi:10.1111/hex.13044.
    • Harvard:
      Ghouri, F., Hollywood, A. and Ryan, K. (2020) ‘“There is no choice apart from antibiotics...”: Qualitative analysis of views on urinary infections in pregnancy and antimicrobial resistance’, Health Expectations, 23(3), pp. 644–650. doi: 10.1111/hex.13044.
    • Harvard: Australian:
      Ghouri, F, Hollywood, A & Ryan, K 2020, ‘“There is no choice apart from antibiotics...”: Qualitative analysis of views on urinary infections in pregnancy and antimicrobial resistance’, Health Expectations, vol. 23, no. 3, pp. 644–650, viewed 12 August 2020, .
    • MLA:
      Ghouri, Flavia, et al. “‘There Is No Choice Apart from Antibiotics...’: Qualitative Analysis of Views on Urinary Infections in Pregnancy and Antimicrobial Resistance.” Health Expectations, vol. 23, no. 3, June 2020, pp. 644–650. EBSCOhost, doi:10.1111/hex.13044.
    • Chicago/Turabian: Humanities:
      Ghouri, Flavia, Amelia Hollywood, and Kath Ryan. “‘There Is No Choice Apart from Antibiotics...’: Qualitative Analysis of Views on Urinary Infections in Pregnancy and Antimicrobial Resistance.” Health Expectations 23, no. 3 (June 2020): 644–50. doi:10.1111/hex.13044.
    • Vancouver/ICMJE:
      Ghouri F, Hollywood A, Ryan K. “There is no choice apart from antibiotics...”: Qualitative analysis of views on urinary infections in pregnancy and antimicrobial resistance. Health Expectations [Internet]. 2020 Jun [cited 2020 Aug 12];23(3):644–50. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144279120