Primary care clinicians' perspectives on management of skin and soft tissue infections: an Iowa Research Network study

Jeanette M Daly; John W Ely; Barcey T Levy; Tara C Smith; Mary L Merchant; George R Bergus; Gerald J Jogerst

doi:10.1111/j.1748-0361.2010.00347.x

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Primary care clinicians' perspectives on management of skin and soft tissue infections: an Iowa Research Network study

Journal article

Peer reviewed

Primary care clinicians' perspectives on management of skin and soft tissue infections: an Iowa Research Network study

Jeanette M Daly, John W Ely, Barcey T Levy, Tara C Smith, Mary L Merchant, George R Bergus and Gerald J Jogerst

The Journal of rural health, Vol.27(3), pp.319-328

2011

DOI: 10.1111/j.1748-0361.2010.00347.x

PMID: 21729160

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Abstract

An estimated 95,000 people developed methicillin-resistant Staphylococcus aureus (MRSA) infections during 2005 of which 14% were community-associated and 85% were hospital or other health setting associated, and 19,000 Americans died from these infections that year. To explore health care providers' perspectives on management of skin and soft tissue infections to gain a better understanding of the problems faced by busy providers in primary care settings. Focus group meetings were held at 9 family physician offices in the Iowa Research Network. Seventy-eight clinicians including physicians, nurses, nurse practitioners, and house officers attended. Meeting audiotapes were transcribed and coded by 3 investigators, and a MRSA-management taxonomy was developed. The main themes that emerged from the focus groups included epidemiology, diagnosis, treatment, management, prevention, special populations, and public relations. The incidence of MRSA infections was perceived to have increased over the past decade. However, diagnosis and treatment protocols for physicians in the outpatient setting have lagged behind, and no well-accepted diagnostic or treatment algorithms were used by physicians attending the focus groups. The clinicians in this study noted considerable confusion and inconsistency in the management of skin and soft tissue infections, particularly those due to MRSA.

Community-Acquired Infections - diagnosis

Soft Tissue Infections - diagnosis

Attitude of Health Personnel

Rural Population - statistics & numerical data

Community-Acquired Infections - epidemiology

Physicians, Primary Care - psychology

Humans

Middle Aged

Focus Groups

Primary Health Care - organization & administration

Male

Soft Tissue Infections - epidemiology

Methicillin-Resistant Staphylococcus aureus

Rural Health Services - organization & administration

Anti-Bacterial Agents - therapeutic use

Practice Patterns, Physicians' - statistics & numerical data

Iowa

Staphylococcal Skin Infections - drug therapy

Community-Acquired Infections - drug therapy

Adult

Female

Soft Tissue Infections - drug therapy

Staphylococcal Skin Infections - diagnosis

Details

Title: Subtitle: Primary care clinicians' perspectives on management of skin and soft tissue infections: an Iowa Research Network study
Creators: Jeanette M Daly - Department of Family Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA. jeanette-daly@uiowa.edu
John W Ely
Barcey T Levy
Tara C Smith
Mary L Merchant
George R Bergus
Gerald J Jogerst
Resource Type: Journal article
Publication Details: The Journal of rural health, Vol.27(3), pp.319-328
Publisher: England
DOI: 10.1111/j.1748-0361.2010.00347.x
PMID: 21729160
ISSN: 0890-765X
eISSN: 1748-0361
Grant note: HHSA2902007100121 / PHS HHS
Language: English
Date published: 2011
Academic Unit: Physician Assistant Studies; Psychiatry; Epidemiology; Family and Community Medicine
Record Identifier: 9984006408702771

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