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Antibiotics for URTI and UTI -- prescribing in Malaysian primary care settings

Cheong Lieng Teng1, Seng Fah Tong, Ee Ming Khoo

  • 1Department of Family Medicine, International Medical University, Negeri Sembilan, Malaysia. tengcl@gmail.com

Australian Family Physician
|May 21, 2011
PubMed
Abstract

Insights

Antibiotic prescribing for upper respiratory tract infections (URTI) and urinary tract infections (UTI) in Malaysian primary care shows high rates, particularly in private clinics for URTI. Evidence-based prescribing needs improvement, especially for URTIs.

Area of Science:

  • Infectious Diseases
  • Public Health
  • Pharmacology

Background:

  • Antibiotic overprescription is a significant issue in primary healthcare settings.
  • This study addresses the critical need to evaluate antibiotic use for common infections.

Purpose of the Study:

  • To assess antibiotic prescribing rates and drug selection for upper respiratory tract infections (URTI) and urinary tract infections (UTI).
  • To identify patterns and potential areas for improvement in Malaysian primary care.

Main Methods:

  • Utilized data from a morbidity survey of randomly selected primary care clinics across Malaysia.
  • Analyzed antibiotic prescribing patterns for 1,163 URTI and 105 UTI cases.

Main Results:

  • Prescribing rates for URTI and UTI were 33.8% and 57.1%, respectively.
  • Private clinics showed higher URTI antibiotic prescribing than public clinics.
  • Penicillins and macrolides were common for URTI, with underuse of penicillin V; penicillins and cotrimoxazole dominated UTI prescriptions.

Conclusions:

  • Urgent need for enhanced evidence-based antibiotic prescribing practices in Malaysian primary care.
  • Particular focus required on optimizing URTI treatment in private primary care settings.

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