Nursing care in primary health care to tackle antimicrobial resistance in pregnant women with urinary tract infections.
Jamile Leite de Figueiredo, Maria Clara Padoveze
PMID 40920954WHAT IT FOUND
Pregnant women treated for UTIs mostly understood antibiotics and followed instructions, though some had used unprescribed or leftover drugs.
Nurses reported gaps in resistance training, felt unsafe prescribing, and wanted PHC education and stewardship.
Key findings
01Eighteen of the 21 pregnant women reported improvement after treatment, and only two did not adhere until the end.
02Five of 11 nurses disagreed they felt safe prescribing antibiotics to pregnant women with urinary tract infections.
03Many nurses did not know the Antimicrobial Stewardship Program and had not received training on antimicrobial resistance.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only pregnant women and nurses from a single primary care unit were studied, so the results may not apply elsewhere. The study did not test whether education or stewardship tools changed outcomes. Medical records were incomplete: diagnosis was often not detailed and an antibiogram was not always performed. Nurses' barriers and facilitators were not explored in depth. The questionnaires were developed for this study and only reviewed by experts and piloted.
Declared interests
No funding or conflict-of-interest declaration appears in the supplied text.
The easy way to misread this
Do not conclude that nurse education or a stewardship booklet reduces antimicrobial resistance; this study measured knowledge and perceptions, not outcomes after an intervention.