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Antimicrobial use and factors influencing prescribing in medical wards of a tertiary care hospital in Malaysia

Akter, Seikh Farid Uddin and Abdul Rani, Mohammed Fauzi and Ab Rahman, Jamalludin and Nordin, Mohamad Sahari and Satwi, Sapari and Awang, Mohamed and Rathor, Mohammad Yousuf and Md Aris, Mohd Aznan (2012) Antimicrobial use and factors influencing prescribing in medical wards of a tertiary care hospital in Malaysia. International Journal of Science, Environment and Technology, 1 (4). pp. 274-284. ISSN 2277-663X (P), 2278-3687 (O)

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Abstract

Abstract: To ascertain the pattern of antimicrobial use and to analyze the selected core drug use indicators – prescribing indicators – a prospective study was conducted in 2008 in medical wards of a tertiary care hospital in Malaysia. Every patient in the medical wards of the selected hospital who was being treated with antimicrobial(s) during the data collection period was considered a potential study subject for this study. The treatment charts of 209 admitted patients were reviewed. Pneumonia was the leading diseases among them (26.3%). The most commonly used antimicrobials were amoxicillin with clavulanate (augmentin), erythromycin, cefuroxime, ceftriaxone and ampicillin sodium with sulbactam sodium (unasyn). The level of generic prescribing of antimicrobials was just above the half of all prescribed courses (54.3%) and the intravenous route was the preferred method of administration (57.3%). The mean number antimicrobials received by the studied patients were 1.8 (± 0.9). The majority of them (53.6%) received two or more antimicrobials for their treatments. The evident of high percentages of patients received antimicrobial treatment in combinations reflected the potential of higher proportion of inappropriate treatment of different diseases and suggested the ample scope for intervention to improve antimicrobial use in the hospital.

Item Type: Article (Journal)
Additional Information: 5187/27958
Uncontrolled Keywords: Antimicrobial agent, use, medical wards, hospital, Malaysia
Subjects: R Medicine > RS Pharmacy and materia medica
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Community Medicine (Effective: 1st January 2011)
Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Kulliyyah of Medicine > Department of Internal Medicine
Kulliyyah of Pharmacy > Department of Pharmaceutical Chemistry
Depositing User: Ms Rosyidah Taju Rahim
Date Deposited: 28 Dec 2012 12:02
Last Modified: 10 Mar 2016 11:53
URI: http://irep.iium.edu.my/id/eprint/27958

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