{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T10:39:49Z","timestamp":1762166389883,"version":"build-2065373602"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["10150511910060","10150511910060","10150511910060"],"award-info":[{"award-number":["10150511910060","10150511910060","10150511910060"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Prim. Care"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In Dutch general practice, urinary tract infections (UTIs) are the most common indication for prescribing antibiotics. General practice assistants (GPAs) are the first point of contact for patients with UTI-associated symptoms and sometimes even manage these cases without consulting a general practitioner. Nevertheless, literature on how GPAs provide and experience UTI-care is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>To investigate the knowledge, attitude, and practice of Dutch GPAs regarding UTIs in general practice, we constructed a cross-sectional online survey. The survey assessed actively working Dutch GPAs\u2019 knowledge, practice, and attitude in UTI-care. Participants were recruited through social media platforms in May and June 2024. Descriptive statistics were used to perform primary data-analysis. Secondary analysis was performed using univariate and multivariate logistic regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      478 of the 643 obtained responses were eligible for analysis. Results showed 95.8% of the GPAs think their UTI knowledge is sufficient. However, only one-fourth of respondents selected all correct groups at higher risk of developing a complicated UTI. Additionally, almost 70% of the respondents would perform urinalysis as a precaution if a patient hands in urine, even when UTI-associated symptoms are absent. Nine out of ten GPAs would\n                      <jats:italic>never<\/jats:italic>\n                      disregard urinalysis results. Furthermore, while GPAs indicated to apply shared decision-making often, wait-and-see policies are not regularly advised.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>GPAs seem to be unaware of their limitations regarding UTI-care, especially overvaluing the urine dipstick as a diagnostic tool. GPAs should adjust their preconceived notions of patient preferences, since patients\u2019 willingness to try non-antibiotic treatments is higher than they think.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12875-025-03025-3","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T10:36:03Z","timestamp":1762166163000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitudes, and practice around urinary tract infections of general practice assistants in the Netherlands: a cross-sectional internet survey"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6804-936X","authenticated-orcid":false,"given":"Stefan M.L.","family":"Cox","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luka T.F.","family":"Nicolaes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5122-0079","authenticated-orcid":false,"given":"Tamara N.","family":"Platteel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9550-5674","authenticated-orcid":false,"given":"Jochen W.L.","family":"Cals","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2700-4752","authenticated-orcid":false,"given":"Eefje G.P.M.","family":"de Bont","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"key":"3025_CR1","unstructured":"Heins MBJ, Weesie Y, Davids R, Winckers M, Korteweg L, Hellwich M, Van Dijk L, Knottnerus B, Overbeek L, Hasselaar J, Hek K, Vanhommerig J. 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