Naar een nieuwe identiteit voor de huisarts?

Lepeleire, Jan De

doi:10.1007/s40954-016-0012-5

Cited by 2 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…KATZ score, to express the residents's care load. It classifies residents based on their level of dependency based on ADL-performance and orientation in time and space [22,23].…”

Section: Questionnaires and Diagnostic Testsmentioning

confidence: 99%

Nursing home residents with suspected urinary tract infections: a diagnostic accuracy study

et al. 2022

View full text Add to dashboard Cite

Background Urinary tract infections (UTIs) are one of the most common infections in nursing homes (NHs). A high error rate of a UTI diagnosis based solely on clinical criteria is to be expected in older persons as they often present infections in an atypical way. A study was set up to assess the diagnostic value of signs/symptoms and urine dipstick testing in identifying UTIs in NH residents and to explore whether C-reactive protein (CRP) measured by point-of-care testing (POCT) can help in the diagnosis. Methods During a three month prospective multicentre study, urine sampling for culture, POCT CRP and urinary dipstick testing were performed in each NH resident with a suspected UTI. UTIs were defined according to Stone et al., i.e. criteria based upon the presence of a set of signs/symptoms and a positive urine culture. Results Eleven NHs and 1 263 residents participated. Sixteen out of 137 recorded UTI suspicions were confirmed. Acute dysuria (positive likelihood ratio (LR +): 7.56, 95% confidence interval (CI): 3.94–14.5) and acute suprapubic pain (LR + : 11.4, 95% CI: 3.58–35.9) were found to be significant predictors. The combined nitrite and leucocyte esterase urine dipstick test (one or both positive) had a 96.0% negative predictive value (95% CI: 80.5–99.3%). The sensitivity of a positive CRP test (≥ 5 mg/L) was 60.0% (95% CI: 32.3–83.7%). Antimicrobials were prescribed in 60.2% of suspected but unconfirmed UTIs and in 92.3% of confirmed UTIs. Conclusions Using a stringent definition, only 11.7% of our suspicions were confirmed. Besides acute dysuria and suprapubic pain, we were not able to prove that any other clinical sign/symptom or POCT CPR adds useful information to the UTI diagnosis. We confirmed the findings of earlier research that urine dipstick tests are useful in ruling out UTIs and identified a potential overuse of antimicrobials in our NH population.

show abstract

“…KATZ score, to express the residents's care load. It classifies residents based on their level of dependency based on ADL-performance and orientation in time and space [22,23].…”

Section: Questionnaires and Diagnostic Testsmentioning

confidence: 99%

Nursing home residents with suspected urinary tract infections: a diagnostic accuracy study

et al. 2022

View full text Add to dashboard Cite

show abstract

Van basisarts tot public health: verschillende wegen om naar Rome te reizen

Criel¹,

Lepeleire²

2021

Tijdschr Geneesk

View full text Add to dashboard Cite

From medical doctor to public health: different ways to travel to Rome Public health aims at health promotion through an organized societal effort. The Alma Ata declaration laid the broad conceptual foundation for public health and primary care in developing countries (the South) and industrialized countries (the North). Family medicine evolved to a professional practice where a community focus is also important. The introduction of the ‘personal medical record’ and the design of primary care areas in Flanders are anchor points for the development of public health in our country. In developing countries and more specifically in Africa, a structured population approach to health care is since long more evident, amongst others through the development of health districts. The evolution of the post-war period that the authors experienced and describe, makes it clear that public health must be a combination of care for the population and the individual: an ‘and-and’ story, in situations where contexts may strongly differ but where basic objectives remain similar. Thereby, the North can learn from the district experiences in the South, and the South from the power of primary care and general practice in the North.

show abstract

Naar een nieuwe identiteit voor de huisarts?

Cited by 2 publications

References 3 publications

Nursing home residents with suspected urinary tract infections: a diagnostic accuracy study

Nursing home residents with suspected urinary tract infections: a diagnostic accuracy study

Van basisarts tot public health: verschillende wegen om naar Rome te reizen

Contact Info

Product

Resources

About