Tan,, Si Yuan. and Tengku A Rahman, Tengku Fatin Norafiqah (2013) Prevalence of antibiotic and antihistamine prescription among upper respiratory tract infection patients attending Petaling Bahagia Health Clinic 2013. [Project Paper] (Submitted)
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Abstract
Background: Upper respiratory tract infection (URTI) is a common disease presented to Malaysia primary care setting. Patients are often prescribed with antihistamine and antibiotic for this illness. However, there had been over and unnecessary prescription of antihistamine and antibiotics in URTI cases. Hence, the purpose of this study is to determine the proportion of antibiotic and antihistamine prescriptions and its associated factors among patients with URTI. Method: A cross sectional study was conducted in the Petaling Bahagia Health Clinic, Kuala Lumpur from June to July 2013. From a list of 296 health records diagnosed with URTI, 268 health records were selected by using simple random sampling. Sociodemographic details, signs and symptoms and prescription of drug were retrieved from the health records. Me Isaac score was calculated based on the features that were documented in the health record. Antibiotic prescription is considered inappropriate for patients with Me Isaac score <2. Result: There was 77.6% of patients prescribed with antihistamine and 36.6% of these patients were prescribed more than one type of antihistamine. There were 13.8% of patients prescribed with antibiotic and 17.2% of patients with Me Isaac score <2 were prescribed with antibiotic. Cough (78%) was the most common symptom presented. There was also significant association between race (P=0.008) and antibiotic prescription. While in antihistamine prescription, there were significant association with age group and race (both p=<O.OOI) with antihistamine prescription. Furthermore, there were also significant relationship between age group (p=<O.OOI) and number of antihistamine prescribed. Tonsillar exudates (p= 0.001), tonsil enlargement (p= 0.001), tonsil injected (p= 0.001), sore throat (p=0.026) and sputum (p= 0.010) had significant relationship with antibiotic prescription. Besides, there was significant relationship between coughing (p= 0.002), dizziness (p=0.049), tonsil enlargement (p=O.OOI) and flu (p= 0.029) with antihistamine prescription. Conclusion: There was over prescription of antihistamine and unnecessary prescription of antibiotics. Measures such as clinical audit and medical education could be implemented to improve the management of URTI cases. Keywords: upper respiratory tract injection, antihistamine, antibiotic
| Item Type: | Project Paper |
|---|---|
| Faculty: | Faculty of Medicine and Health Science |
| Depositing User: | Ms Norafizah Radzuan |
| Date Deposited: | 15 Nov 2022 03:20 |
| Last Modified: | 07 Sep 2023 03:11 |
| URI: | http://psaspb.upm.edu.my/id/eprint/119 |
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