Antibiotic Prescribing Pattern in Primary Care Practice in Federal Territory Kuala Lumpur and Putrajaya, Malaysia

Antibiotic Prescribing Pattern

  • Audrey Huili Lim Centre for Clinical Outcomes Research, Institute for Clinical Research, National Institutes of Health, Ministry of Health Malaysia
  • Shieh Teng Wong Hospital Rehabilitasi Cheras, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia
  • Soon Yew Thian Pharmaceutical Services Division, Federal Territory Kuala Lumpur and Putrajaya, Jalan Cenderasari, 50590 Kuala Lumpur, Malaysia.
  • Wan Yin Tew Setapak Heatlh Clinic, Federal Territory Kuala Lumpur and Putrajaya, Wisma Rampai Blok Pasifik, Jalan 34/26, Taman Sri Rampai, 53300 Kuala Lumpur, Malaysia.
  • Siow Yeh Chiew Hospital Tengku Ampuan Afzan, Jalan Tanah Putih, 25100 Kuantan, Pahang, India
  • Xianhui Lee Cheras District Health Office, Aras 3, Klinik Kesihatan Cheras, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia.
  • Yee Yee Hor Kuala Lumpur Heatlh Clinic, Jalan Fletcher, 53200 Kuala Lumpur, Malaysia.


Introduction: The emerging of antibiotic resistance has become a challenge to global health and there is a strong association between antibiotic consumption and incidence of resistance. One of the tools to monitor and identify antibiotic prescribing pattern is Point Prevalence Survey (PPS). Objectives: To determine the pattern of antibiotic prescribing in Primary Health Clinics (PHC) in Federal Territory Kuala Lumpur and Putrajaya (FTKLP). Methods: A cross-sectional study was conducted at 17 PHCs in FTKLP using universal sampling. Data from prescriptions received were recorded in PPS-PC data collection form. The compliance of the antibiotics prescribed were determined via cross-referencing with the Malaysian National Antibiotic Guideline (NAG) 2014 and/or Clinical Pathway for Antimicrobial Stewardship Program in PHCs (CP) 2019. Results: A total of 338 prescriptions with antibiotics were received and the prescribing rate of antibiotics at the PHCs in FTKLP 2019 was 5.94%.Only 128 (37.9%) prescriptions with antibiotics prescribed were compliant with either the NAG or the CP while 33 (9.8%) prescriptions were found non-compliant with either guideline. Compliance of the remaining 177 prescriptions could not be determined due to non-specific diagnoses. The most commonly prescribed drug class was penicillin (n=198, 58.4%), followed by cephalosporins (n=80, 23.6%) and macrolides (n=41, 12%). Conclusion: This PPS study showed a low compliance of antibiotic prescribing to guidelines compared to recent studies and indicate the need for further action to be taken in order to improve antimicrobial prescribing in PHCs.

Keywords: Point prevalence survey, antibiotic, primary care


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Lim, A., Wong, S., Thian, S., Tew, W., Chiew, S., Lee, X., & Hor, Y. (2021). Antibiotic Prescribing Pattern in Primary Care Practice in Federal Territory Kuala Lumpur and Putrajaya, Malaysia. International Journal of Advancement in Life Sciences Research, 4(4), 15-24.