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GPs' perspectives on acne management in primary care: a qualitative interview study.
| Content Provider | Europe PMC |
|---|---|
| Author | Platt, Duncan Muller, Ingrid Sufraz, Anicka Little, Paul Santer, Miriam |
| Copyright Year | 2021 |
| Abstract | BackgroundAcne is a common skin condition, affecting most adolescents at some point. While guidelines recommend topical treatments first-line, long courses of oral antibiotics are commonly prescribed.AimTo explore GPs’ perspectives on managing acne.Design and settingQualitative interview study with GPs in South West England.MethodGPs were invited to participate via existing email lists used by GP educators to disseminate information. Purposive sampling was used to recruit a range of participants by sex, number of years in practice, and whether their practice was rural or urban. Semi-structured telephone interviews followed an interview guide and were audiorecorded and transcribed. Data were explored using inductive thematic analysis facilitated by NVivo software (version 11).ResultsA total of 102 GPs were invited, of whom 20 participated. Analysis revealed uncertainties regarding topical treatments, particularly around available products, challenges regarding side effects, and acceptability of topical treatments. GPs generally either perceived topical treatments to be less effective than oral antibiotics or perceived pressure from patients to prescribe oral antibiotics due to patients’ views of topical treatments being ineffective. GPs described a familiarity with prescribing oral antibiotics and expressed little concern about antimicrobial stewardship in the context of acne. Some seemed unaware of guidance suggesting that antibiotic use in acne should not exceed 3 months, while others spoke about avoiding difficult conversations with patients regarding discontinuation of antibiotics.ConclusionGPs expressed uncertainty about the use of topical treatments for acne and either felt that treatments were of low effectiveness or perceived pressure from patients to prescribe oral antibiotics. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7716869&blobtype=pdf |
| ISSN | 09601643 |
| Journal | The British Journal of General Practice [Br J Gen Pract] |
| Volume Number | 71 |
| PubMed Central reference number | PMC7716869 |
| Issue Number | 702 |
| PubMed reference number | 33257464 |
| e-ISSN | 14785242 |
| DOI | 10.3399/bjgp20x713873 |
| Language | English |
| Publisher | Royal College of General Practitioners |
| Publisher Date | 2020-12-28 |
| Access Restriction | Open |
| Rights License | This article is Open Access: CC BY 4.0 licence (http://creativecommons.org/licences/by/4.0/). © The Authors |
| Subject Keyword | acne vulgaris antibiotics GPs’ perspectives primary care qualitative research |
| Content Type | Text |
| Resource Type | Article |
| Subject | Family Practice |
