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Evaluation of antibiotic prescribing pattern during hospitalisation: A preliminary clinical audit from a Malaysian teaching hospital

Elnaem, Mohamed Hassan and Jamal, Muhammad Hazim and Noor Asmadi, Muhammad Nur Shafiq and Pauzi, Muhammad Faris and Mohd Shaufi, Muhammad Anis and Hassan, Muhammad Fakhrul Asyraf Kamarulzaman (2019) Evaluation of antibiotic prescribing pattern during hospitalisation: A preliminary clinical audit from a Malaysian teaching hospital. In: International Conference on Pharmaceutical Research and Pharmacy Practice cum 14th IIUM-MPS Pharmacy Scientific Conference (ICPRP 2019), 19th-20th October 2019, Kuala Lumpur. (Unpublished)

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Abstract

Introduction: Inappropriate prescribing of antibiotics by healthcare providers is a leading contributor to antibiotics resistance and increasing hospital stay worldwide. There is a relatively few data available on how appropriately the changing of antibiotics during the same hospital stay occurs. Objectives: This study aimed to investigate and evaluate the prescribing pattern by healthcare providers during hospitalisation in a Malaysian teaching hospital. Materials and Methods: a preliminary clinical audit (N=70) was conducted over four weeks in the wards of a Malaysian teaching hospital. The evaluation was performed according to the National Antibiotic Guidelines (NAG), including adult patients more than 18 years old who were prescribed with at least two different antibiotics throughout the same hospitalisation period. Descriptive statistics were used to present the findings. Results: The most commonly prescribed as a first antibiotic was amoxicillin/clavulanate combination (25.7%) while cefuroxime was the most common second antibiotics choice contributing to 16.7% compared to other antibiotics. Besides, a considerable number of cases (30%) have their first antibiotic change after one day only. Multiple antibiotics courses were more prevalent among patients with lower respiratory tract infections compared to other diseases. Surprisingly, only about 57.1% of the prescribed antibiotics regimens complied with NAG recommendation mainly due to the inappropriate choice of prescribed antibiotic. Conclusion: There is a need to improve further the appropriateness of antibiotic prescribing by focusing on supporting the rational choice of prescribed antibiotics throughout the hospitalisation.

Item Type: Conference or Workshop Item (Poster)
Additional Information: 7472/84495
Uncontrolled Keywords: Antibiotics, clinical audit, prescribing patterns
Subjects: R Medicine > RM Therapeutics. Pharmacology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Pharmacy
Kulliyyah of Pharmacy > Department of Pharmacy Practice
Depositing User: Dr Mohamed Elnaem
Date Deposited: 19 Nov 2020 11:34
Last Modified: 19 Nov 2020 11:34
URI: http://irep.iium.edu.my/id/eprint/84495

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