Evaluation of antimicrobial agents prescribed by universiti sains malaysia panel of doctors: a pharmacoepidemiology approach
| dc.contributor.author | Ali Sawesi, Suhila | |
| dc.date.accessioned | 2015-07-30T03:01:18Z | |
| dc.date.available | 2015-07-30T03:01:18Z | |
| dc.date.issued | 2003 | |
| dc.description.abstract | Drug utilization study is important in establishing the status of drug use in a particular country, irrational prescribing is a global phenomenon. Many studies have been carried out to document antibiotic use patterns, and indicate that over I prescribing, multiple drug prescribing, misuse of drugs, use of unnecessary expensive ,, ...., drugs and overuse of antibiotics are the most common problems of irrational drug use t ~ ,. by prescribers. By retrospectively recording data from 2,013 claim forms issued to students of Universiti Sains Malaysia during the period 1997, the study sets out to examine different aspects of prescribing antibiotics to students. The claim forms were selected non-randomly from the National Poison Center. Results showed that the most frequent diagnosis given to USM's students were upper respiratory tract infection (59.9%), acute gastroenteritis (5.8%) and urinary tract infection (4.8%). Amoxycillin was the most common antibiotic given in cases of upper respiratory tract infections (65.5%) and urinary tract infections (52%), while Bactrim was the most common antibiotic given in cases of acute gastroenteritis (57.2%). The total numbers of brand name antibiotics prescribed were 48.1 %. About 11.7% of the claim forms did not follow the WHO Essential .Drug List and 19.6% of the antibiotic claim form did not follow the Malaysian Standard Treatment Guidelines. Of the total claim forms, 93% had unwritten dose, 59.8% had unwritten dosage form, 72.9% had unwritten frequency and 77.7% had unwritten duration. It was found that 1.4% of antibiotics were contraindication, 0.1% of antibiotic duplicated and 5.6% having drugdrug interactions. It was concluded in this study that current usage patterns of antibiotics in USM's panel clinic indicate some potential problems due to inadequate monitoring for drug interactions, a need to document outcome, some doctors not following the r.r'' Malaysia Standard Treatment Guideline and drug formularies. Guideline should be readily accessible to improve rational drug use. The average number of drugs per claim ,.~ forms, the percentage of claim forms with antibiotics prescribed and the percentage of generic antibiotics prescribed, are the three areas, which need further intervention to -improve the quality of health care. | en_US |
| dc.identifier.uri | http://hdl.handle.net/123456789/940 | |
| dc.language.iso | en | en_US |
| dc.subject | Antimicrobial | en_US |
| dc.subject | Pharmacoepidemiology approach | en_US |
| dc.title | Evaluation of antimicrobial agents prescribed by universiti sains malaysia panel of doctors: a pharmacoepidemiology approach | en_US |
| dc.type | Thesis | en_US |
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