دورية أكاديمية

Patient profile and antibiotic use in a dedicated upper respiratory tract infection clinic based in a primary healthcare setting during COVID-19 pandemic in Malaysia: A cross sectional study.

التفاصيل البيبلوغرافية
العنوان: Patient profile and antibiotic use in a dedicated upper respiratory tract infection clinic based in a primary healthcare setting during COVID-19 pandemic in Malaysia: A cross sectional study.
المؤلفون: Ooi ZY; MD (UNIMAS), Klinik Kesihatan Taman Universiti, Jalan Kebudayaan 28, Taman Universiti, Johor Bahru, Johor, Malaysia. Email: ooizhiyin0704@gmail.com., Mohd Ghazali NA; MD (UMS), Hospital Sultanah Bahiyah, Km 6, Jln Langgar, Bandar, Alor Setar, Kedah, Malaysia., Nik Zahari NJ; MB BCh BAO (IRELAND), Doc of Fam Med (UKM), Klinik Kesihatan Bandar Alor Setar, Aras 1 Blok A, Darul Aman Highway, Alor Setar, Kedah, Malaysia., Chan HK; MSc (USM), Clinical Research Centre, Hospital Sultanah Bahiyah, Km 6, Jln Langgar, Bandar, Alor Setar, Kedah, Malaysia., Md Noor N; MBBS (MAL), M.MED (FAMILY MEDICINE) UKM, Klinik Kesihatan Bandar Alor Setar, Aras 1 Blok A, Darul Aman Highway, Alor Setar, Kedah, Malaysia., Harun NL; MBBS (UM), Doc of Fam Med (UKM), Klinik Kesihatan Bandar Alor Setar, Aras 1 Blok A, Darul Aman Highway, Alor Setar, Kedah, Malaysia., Abu Bakar MF; MBBS (IIUM), Klinik Kesihatan Bandar Alor Setar, Aras 1 Blok A, Darul Aman Highway, Alor Setar, Kedah, Malaysia., Abdul Muin MR; MB BCh BAO (IRELAND), Klinik Kesihatan Bandar Alor Setar, Aras 1 Blok A, Darul Aman Highway, Alor Setar, Kedah, Malaysia.
المصدر: Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia [Malays Fam Physician] 2022 Aug 25; Vol. 17 (3), pp. 74-83. Date of Electronic Publication: 2022 Aug 25 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Academy of Family Physicians of Malaysia Country of Publication: Malaysia NLM ID: 101466855 Publication Model: eCollection Cited Medium: Print ISSN: 1985-207X (Print) Linking ISSN: 19852274 NLM ISO Abbreviation: Malays Fam Physician Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Kuala Lumpur : Academy of Family Physicians of Malaysia, 2006-
مستخلص: Introduction: Upper respiratory tract infection (URTI) is commonly encountered at the primary care level. Its management is particularly challenging due to the similarity of its symptoms to coronavirus disease 2019 (COVID-19) infection. Our study evaluated the profiles and antibiotic use of patients seeking care from a dedicated community-based URTI clinic during the COVID-19 pandemic.
Method: A cross-sectional study was conducted. Data were obtained from the medical records of patients visiting the URTI clinic at the Alor Setar Primary Healthcare Centre between March and April 2020.
Results: Overall, 587/4388 (13.3%) patients received treatment at the URTI clinic. Most patients were male (60.6%) and aged between 20 and 39 years (35.5%). Their most common symptoms were cough (68.4%), fever (31.6%), runny nose (24.6%), and sore throat (24.1%). Most patients were diagnosed with acute nasopharyngitis (52.5%), acute pharyngitis (18.6%), or acute tonsillitis (5.3%). The symptomatic medication prescription rate was 96.5%. Only 26 of the 435 patients diagnosed with URTI received antibiotics, yielding an antibiotic use rate of only 6.0% for URTI relative to overall drug use. Acute tonsillitis was more common in children <12 years old (p<0.001), while a cough and runny nose were more commonly indicative of acute nasopharyngitis than other conditions (p<0.001). Sore throat was more likely to be a symptom of acute pharyngitis (p<0.001) and acute tonsillitis (p<0.001).
Conclusion: Despite the challenges faced during the COVID-19 pandemic, the findings suggest that patients with URTI-like symptoms were properly managed, and the rate of antibiotic usage remained reasonable.
(© Academy of Family Physicians of Malaysia.)
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فهرسة مساهمة: Keywords: Antibiotic; COVID-19; Patient profile; Primary care; URTI clinic
تواريخ الأحداث: Date Created: 20230106 Latest Revision: 20230111
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9809438
DOI: 10.51866/oa.38
PMID: 36606160
قاعدة البيانات: MEDLINE
الوصف
تدمد:1985-207X
DOI:10.51866/oa.38