Publications by authors named "Rian Lelie-van der Zande"
Background: Community pharmacies are easily accessible for self-care advice. Guidelines for providing self-care advice were introduced in several countries, including the Netherlands in the 1990s. Previous studies have indicated room for improvement in self-care advice in daily pharmacy practice.
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- The study looked at how well two methods diagnosed acute cystitis (a bladder infection) in women: a questionnaire and urine tests.
- The questionnaire was designed to ask about symptoms and how they affect daily life, and it was given to women suspected of having the infection.
- The results showed that the questionnaire was pretty good at predicting the diagnosis, but both methods had some errors, which could be improved by considering more specific symptoms and conditions.
Allergic rhinitis self-care advice in community pharmacies: A simulated patient study.
Explor Res Clin Soc Pharm
December 2021
Article Synopsis
- Pharmacists and pharmacy assistants in the Netherlands use national guidelines and structured questions (WWHAM) to give evidence-based advice for minor ailments like allergic rhinitis.
- A study assessed the quality of advice provided by pharmacy assistants during simulated patient visits across three years, focusing on their adherence to guidelines and the effectiveness of their questioning.
- Findings showed that while fewer pharmacies dispensed appropriate antihistamines for symptoms in 2014 and 2018 (41.2% and 21.1%), a significant majority provided correct advice when the condition was clearly identified as an allergy in 2016 (96.0%), highlighting the importance of thorough problem analysis in guiding effective self-care recommendations.
Background The Dutch general practitioners (GP) guideline for urinary tract infections (UTI) recommends patient-initiated treatment for women with recurring UTI. In countries other than the Netherlands, community pharmacists play a role in dispensing antibiotics for recurring UTI without preceding GP consultation. Objective To study GP and pharmacist opinions regarding the desirability of patient-initiated treatment, including potential pharmacist support for, and consequences of, facilitated access to antibiotics.
View Article and Find Full Text PDFBackground: The guideline on urinary tract infections (UTI) of the Dutch College of General Practitioners provides recommendations on patient-initiated treatment and prevention of recurring UTI.
Aim: To study familiarity with self-management skills for prevention of recurring UTI amongst adult women.
Design And Settings: An online questionnaire was developed, based on the UTI guideline and interviews with women having recurring UTI.
Aim: To study whether changes in drug preferences in the Dutch guideline for the treatment of Urinary Tract Infection (UTI) for General Practitioners (GPs) in 2013, resulted in corresponding changes in antibiotic dispensing.
Background: For the treatment of uncomplicated UTI, nitrofurantoin remained the first choice, while fosfomycin became the second choice and changed ranks with trimethoprim. For a subsequent febrile UTI, ciprofloxacin became the first choice and changed ranks with amoxicillin/clavulanic acid, co-trimoxazole remained the third choice.
Background: Urinary tract infection (UTI) is one of the most prevalent medical conditions among women seeking primary care. About 20-40% of the women have a UTI recurrence during their lifetime.
Objective: To provide insight in the patterns of recurring annual dispensing for antibiotics commonly used for UTI treatment in women, aged 18 years or older, during a 5-year follow-up period in the Netherlands.