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

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. Ob...

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Main Authors: Elnaem, Mohamed Hassan Abdelaziz, Jamal, Muhammad Hazim, Noor Asmadi, Muhammad Nur Shafiq, Pauzi, Muhammad Faris, Mohd Shaufi, Muhammad Anis, Hassan, Muhammad Fakhrul Asyraf Kamarulzaman
Format: Conference or Workshop Item
Language:English
English
Published: 2019
Subjects:
RM Therapeutics. Pharmacology
Online Access:http://irep.iium.edu.my/84495/32/ICPRP%20%20%20program%20schedule.pdf
http://irep.iium.edu.my/84495/20/AB%20POSTER%20FINAL%20-%20formatted%20size.pdf
http://irep.iium.edu.my/84495/
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spelling my.iium.irep.844952022-07-15T02:39:07Z http://irep.iium.edu.my/84495/ Evaluation of antibiotic prescribing pattern during hospitalisation: A preliminary clinical audit from a Malaysian teaching hospital Elnaem, Mohamed Hassan Abdelaziz Jamal, Muhammad Hazim Noor Asmadi, Muhammad Nur Shafiq Pauzi, Muhammad Faris Mohd Shaufi, Muhammad Anis Hassan, Muhammad Fakhrul Asyraf Kamarulzaman RM Therapeutics. Pharmacology 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. 2019 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/84495/32/ICPRP%20%20%20program%20schedule.pdf application/pdf en http://irep.iium.edu.my/84495/20/AB%20POSTER%20FINAL%20-%20formatted%20size.pdf Elnaem, Mohamed Hassan Abdelaziz 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)
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic RM Therapeutics. Pharmacology
spellingShingle RM Therapeutics. Pharmacology
Elnaem, Mohamed Hassan Abdelaziz
Jamal, Muhammad Hazim
Noor Asmadi, Muhammad Nur Shafiq
Pauzi, Muhammad Faris
Mohd Shaufi, Muhammad Anis
Hassan, Muhammad Fakhrul Asyraf Kamarulzaman
Evaluation of antibiotic prescribing pattern during hospitalisation: A preliminary clinical audit from a Malaysian teaching hospital
description 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.
format Conference or Workshop Item
author Elnaem, Mohamed Hassan Abdelaziz
Jamal, Muhammad Hazim
Noor Asmadi, Muhammad Nur Shafiq
Pauzi, Muhammad Faris
Mohd Shaufi, Muhammad Anis
Hassan, Muhammad Fakhrul Asyraf Kamarulzaman
author_facet Elnaem, Mohamed Hassan Abdelaziz
Jamal, Muhammad Hazim
Noor Asmadi, Muhammad Nur Shafiq
Pauzi, Muhammad Faris
Mohd Shaufi, Muhammad Anis
Hassan, Muhammad Fakhrul Asyraf Kamarulzaman
author_sort Elnaem, Mohamed Hassan Abdelaziz
title Evaluation of antibiotic prescribing pattern during hospitalisation: A preliminary clinical audit from a Malaysian teaching hospital
title_short Evaluation of antibiotic prescribing pattern during hospitalisation: A preliminary clinical audit from a Malaysian teaching hospital
title_full Evaluation of antibiotic prescribing pattern during hospitalisation: A preliminary clinical audit from a Malaysian teaching hospital
title_fullStr Evaluation of antibiotic prescribing pattern during hospitalisation: A preliminary clinical audit from a Malaysian teaching hospital
title_full_unstemmed Evaluation of antibiotic prescribing pattern during hospitalisation: A preliminary clinical audit from a Malaysian teaching hospital
title_sort evaluation of antibiotic prescribing pattern during hospitalisation: a preliminary clinical audit from a malaysian teaching hospital
publishDate 2019
url http://irep.iium.edu.my/84495/32/ICPRP%20%20%20program%20schedule.pdf
http://irep.iium.edu.my/84495/20/AB%20POSTER%20FINAL%20-%20formatted%20size.pdf
http://irep.iium.edu.my/84495/
_version_ 1738510106454130688
score 13.211869

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