Australian Family Physician
Australian Family Physician


Volume 40, Issue 5, May 2011

Antibiotics for URTI and UTI Prescribing in Malaysian primary care settings

Cheong Lieng Teng Seng Fah Tong Ee Ming Khoo Verna Lee Abu Hassan Zailinawati Omar Mimi Wei Seng Chen Salleh Nordin
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Overprescription of antibiotics is a continuing problem in primary care. This study aims to assess the antibiotic prescribing rates and antibiotic choices for upper respiratory tract infections (URTI) and urinary tract infections (UTI) in Malaysian primary care.
Greater effort is needed to bring about evidence based antibiotic prescribing in Malaysian primary care, especially for URTIs in private clinics.
Analysis was performed of 1163 URTI and 105 UTI encounters. Antibiotic prescribing rates for URTI and UTI were 33.8% and 57.1% respectively. Antibiotic prescribing rates were higher in private clinics compared to public clinics for URTI, but not for UTI. In URTI encounters, the majority of antibiotics prescribed were penicillins and macrolides, but penicillin V was notably underused. In UTI encounters, the antibiotics prescribed were predominantly penicillins or cotrimoxazole.

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