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Over a 2-week period, the management of upper respiratory tract infection by 24 medical officers and medical assistants in Seremban District was studied. Each practitioner recorded clinical data and prescription for twenty consecutive patients using a structured questionnaire. The extent to which the practitioners used "predictive features" (fever, absence of cough, cervical adenopathy, enlarged tonsils and exudates on tonsils) in clinical decision-making was analysed. The mean antibiotic prescription rate was 28.7% (95% CI: 24.6%, 33.0%). The antibiotic prescription rate of medical officers and medical assistants were similar. Five features were independently associated with antibiotic prescription (phlegm, fever, cervical adenopathy, red throat and tonsillar exudates). Antibiotics were prescribed for 22.1% of patients with 0-1 predictive features. High prescribers were 5 times more likely to prescribe antibiotics in this group of patients than low prescribers. To a large extent the clinical decision-making of practitioners in this study was evidence based. However, they were unduly influenced by purulent manifestation (phlegm) and redness of throat. The antibiotic prescription rate in these government health clinics is potentially reducible by means of educational intervention.
C L Teng, and
M I Nurjahan, and
Nor Asiah bt Hashim, and
P Punithambigai, and
K C Leong, and
Omar bin Mihat
January 2013,
Journal of the Royal Naval Medical Service,
C L Teng, and
M I Nurjahan, and
Nor Asiah bt Hashim, and
P Punithambigai, and
K C Leong, and
Omar bin Mihat
June 2003,
Nihon Jibiinkoka Gakkai kaiho,
C L Teng, and
M I Nurjahan, and
Nor Asiah bt Hashim, and
P Punithambigai, and
K C Leong, and
Omar bin Mihat
March 1999,
Journal of general internal medicine,
C L Teng, and
M I Nurjahan, and
Nor Asiah bt Hashim, and
P Punithambigai, and
K C Leong, and
Omar bin Mihat
June 2004,
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde,
C L Teng, and
M I Nurjahan, and
Nor Asiah bt Hashim, and
P Punithambigai, and
K C Leong, and
Omar bin Mihat
April 1974,
The Journal of the Arkansas Medical Society,
C L Teng, and
M I Nurjahan, and
Nor Asiah bt Hashim, and
P Punithambigai, and
K C Leong, and
Omar bin Mihat
January 1988,
Scandinavian journal of infectious diseases. Supplementum,
C L Teng, and
M I Nurjahan, and
Nor Asiah bt Hashim, and
P Punithambigai, and
K C Leong, and
Omar bin Mihat
June 1994,
The Western journal of medicine,
C L Teng, and
M I Nurjahan, and
Nor Asiah bt Hashim, and
P Punithambigai, and
K C Leong, and
Omar bin Mihat
March 2008,
South African family practice : official journal of the South African Academy of Family Practice/Primary Care,
C L Teng, and
M I Nurjahan, and
Nor Asiah bt Hashim, and
P Punithambigai, and
K C Leong, and
Omar bin Mihat
January 1987,
Pediatrics,
C L Teng, and
M I Nurjahan, and
Nor Asiah bt Hashim, and
P Punithambigai, and
K C Leong, and
Omar bin Mihat
February 1999,
Managed care interface,
