BACKGROUND Infections are one of the most common reasons for patients attending primary care. Antimicrobial resistance (AMR) is perhaps one of the biggest threats to modern medicine; data show that 81% of antibiotics in the UK are prescribed in primary care. AIM To identify where the perceived gaps in knowledge, skills, guidance and research around infections and antibiotic use lie from the general practitioner (GP) viewpoint. DESIGN AND SETTING An online questionnaire survey. METHOD The survey, based on questions asked of Royal College of General Practitioners (RCGP) members in 1999, and covering letter were electronically sent to GPs between May and August 2017 via various primary care dissemination routes. RESULTS Four hundred and twenty-eight GPs responded. Suspected Infection in the elderly, recurrent urinary tract infection (UTI), surveillance of AMR in the community, leg ulcers, persistent cough and cellulitis all fell into the top six conditions ranked in order of importance that require further research, evidence and guidance. Acute sore throat, otitis media and sinusitis were of lower importance than in 1999. CONCLUSION This survey will help the NHS, the UK National Institute for Health and Care Excellence (NICE) and researchers to prioritise for the development of guidance and research for chronic conditions highlighted for which there is little evidence base for diagnostic and management guidelines in primary care. In contrast, 20 years of investment into research, guidance and resources for acute respiratory infections have successfully reduced these as priority areas for GPs.

中文翻译：

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传染病和初级保健研究 - 英国全科医生说他们需要什么。


背景技术感染是患者就医的最常见原因之一。抗菌素耐药性（AMR）可能是现代医学面临的最大威胁之一。数据显示，英国 81% 的抗生素是在初级保健中开出的。目的 确定从全科医生 (GP) 的角度来看，在感染和抗生素使用方面的知识、技能、指导和研究方面存在的差距。设计和设置 在线问卷调查。方法 这项调查基于 1999 年向皇家全科医生学院 (RCGP) 成员提出的问题，并在 2017 年 5 月至 8 月期间通过各种初级保健传播途径以电子方式将求职信发送给全科医生。结果 四百二十八名全科医生做出了回应。老年人疑似感染、复发性尿路感染（UTI）、社区抗菌素耐药性监测、腿部溃疡、持续咳嗽和蜂窝组织炎均属于需要进一步研究、证据和指导的重要程度排名前六位的病症。与 1999 年相比，急性咽喉痛、中耳炎和鼻窦炎的重要性有所降低。 结论 这项调查将帮助 NHS、英国国家健康与护理卓越研究所 (NICE) 和研究人员优先考虑针对慢性病制定指导和研究强调初级保健诊断和管理指南的证据基础很少。相比之下，20年来对急性呼吸道感染研究、指导和资源的投资已成功减少了全科医生的优先领域。