Publications by authors named "T Platteel"

Article Synopsis
  • Urinary tract infections (UTIs) are a common reason for women to visit general practitioners (GPs), but current diagnostic methods are inadequate, hindering effective diagnosis and treatment.
  • A cross-sectional internet survey was conducted among Dutch GPs to explore their knowledge, attitudes, and practices regarding UTI care, using 15 questions to gather data.
  • Results indicated that many GPs rely on non-specific symptoms for UTI diagnosis and often do not adhere to established guidelines; they expressed a strong need for improved diagnostic tools to support better antibiotic prescribing practices.
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Background: We previously performed a pragmatic cluster randomized controlled trial (RCT) in general practices and older adult care organizations in Poland, the Netherlands, Norway, and Sweden. We found that a multifaceted antibiotic stewardship intervention (ASI) substantially reduced antibiotic use for suspected urinary tract infections (UTIs) in frail older adults compared with usual care. We aimed to evaluate the implementation process of the ASI to provide recommendations for clinical practice.

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Background: There is a paucity of prognostic models for COVID-19 that are usable for in-office patient assessment in general practice (GP).

Objectives: To develop and validate a risk prediction model for hospital admission with readily available predictors.

Methods: A retrospective cohort study linking GP records from 8 COVID-19 centres and 55 general practices in the Netherlands to hospital admission records.

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Background: Cystitis is commonly treated with antibiotics, although non-antibiotic options could be considered for healthy non-pregnant women. Shared decision making (SDM) can be used in cystitis management to discuss the various treatment options but is not frequently applied in general practice.

Aim: To identify barriers and facilitators for applying SDM in cystitis management in general practice.

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Objective: To identify and synthesise relevant existing prognostic factors (PF) and prediction models (PM) for hospitalisation and all-cause mortality within 90 days in primary care patients with acute lower respiratory tract infections (LRTI).

Design: Systematic review.

Methods: Systematic searches of MEDLINE, Embase and the Cochrane Library were performed.

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