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Exploring antibiotic use and practices in a Malaysian community
1Department of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, UCSI University, 1 Jalan Menara Gading, Cheras, 56000, Kuala Lumpur, Malaysia, tayofatokun@gmail.com.
Background:
In Malaysia, antibacterial agents are among the most utilized drugs. There has been an increase in their use in recent years, contributing to an increase of antimicrobial resistance (AMR).
Objectives:
This study explores the pattern of antibiotic use and practices in a Malaysian community and identifies the variables associated with a likelihood of non-compliance with a course of antibiotic treatment.
Setting:
The study was conducted in Cheras, a community located to the south-east of Kuala Lumpur, the capital city of Malaysia.
Method:
A cross-sectional survey was conducted with 250 individuals, using an interviewer-administered questionnaire in Cheras, Kuala Lumpur, Malaysia.
Main Outcome Measures:
Frequency of antibiotic use, sources of antibiotics, use of antibiotics without prescription, discontinuation of antibiotic treatment, antibiotic resistance awareness, handling of unused antibiotics, and association between respondents characteristics and compliance with a course of antibiotic treatment.
Results:
Approximately 36 % of the participants (n = 91) had taken antibiotics in the year of the study. The majority (66.8 %) obtained antibiotics from clinics. Almost 80 % of the participants had never obtained antibiotics without a doctor's prescription. Nearly 55 % discontinued the course of antibiotics once symptoms disappeared. The most common method of disposing leftover antibiotics was throwing them into the household rubbish bin (78.8 %). Only 6.4 % of participants returned leftover antibiotics to the pharmacist or doctor. Univariate analysis revealed that male gender (p = 0.04), lack of knowledge of antibiotic functions (p < 0.0001), and lack of awareness of antibiotic resistance (p < 0.0001) were all significantly associated with a greater likelihood of non-compliance with a full course of prescribed antibiotic treatment.
Conclusion:
Most individuals in the Malaysian community obtained antibiotics through prescription. Non-completion of a course of antibiotic treatment and improper disposal of unused antibiotics need to be addressed to prevent AMR. Male gender, lack of knowledge and awareness of antibiotics and resistance were significantly associated with a greater likelihood of non-compliance with a full course of prescribed antibiotic treatment. Therefore, patient education and counselling about antibiotics and antibacterial resistance is very important to enhance compliance to antibiotic therapy.
Insights
Antibiotic use in Malaysia is high, contributing to antimicrobial resistance (AMR). Many patients do not complete their antibiotic course, and improper disposal of leftover medication is common, necessitating improved patient education.
Area of Science:
- Pharmacology and Public Health
- Infectious Disease Epidemiology
Background:
- Antibacterial agent utilization is high in Malaysia, with increasing trends.
- This rise in usage is linked to a growing prevalence of antimicrobial resistance (AMR).
Purpose of the Study:
- To investigate antibiotic consumption patterns and practices within a Malaysian community.
- To identify factors associated with non-compliance in completing prescribed antibiotic treatments.
Main Methods:
- A cross-sectional survey was conducted with 250 participants in Cheras, Kuala Lumpur, Malaysia.
- An interviewer-administered questionnaire collected data on antibiotic use, sources, prescription practices, treatment completion, and disposal habits.
Main Results:
- Approximately 36% of participants used antibiotics in the study year, with most obtaining them from clinics.
- Nearly 55% discontinued treatment prematurely, and 78.8% disposed of leftover antibiotics in household waste.
- Male gender, lack of knowledge about antibiotic function, and low awareness of AMR were significantly associated with non-compliance.
Conclusions:
- While most antibiotics are obtained via prescription in Malaysia, non-completion of treatment and improper disposal of unused medication are significant concerns for AMR prevention.
- Patient education on antibiotic use and resistance is crucial for improving adherence to prescribed therapies.
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