Evaluation of antibiotic prescribing pattern during hospitalisation: A preliminary clinical audit from a Malaysian teaching hospital
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:...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications , Wolters Kluwer India Pvt Ltd
2020
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/85042/1/85042%20abstract.pdf http://irep.iium.edu.my/85042/ https://www.jpbsonline.org/article.asp?issn=0975-7406;year=2020;volume=12;issue=6;spage=852;epage=934;aulast= |
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| Institution: | Universiti Islam Antarabangsa Malaysia |
| Language: | English |
| Summary: | 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. |
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