All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Abstract

Factors Influencing Intravenous-to-Oral Antibiotic Switch among Private Healthcare Providers in Malaysia

Author(s): H. M. CHUA, F. ISLAHUDIN*, N. A. MOHD TAHIR, N.J. AZMAN1 , AND Z. WAN ZEIN2
Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia; 1Pharmacy Department, Universiti Kebangsaan Malaysia Medical Centre, 56000 Kuala Lumpur, Malaysia; 2Clinical and Quality Services, KPJ Healthcare Berhad, 50400 Kuala Lumpur, Malaysia

Correspondence Address:
Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia; 1Pharmacy Department, Universiti Kebangsaan Malaysia Medical Centre, 56000 Kuala Lumpur, Malaysia; 2Clinical and Quality Services, KPJ Healthcare Berhad, 50400 Kuala Lumpur, Malaysia, E-mail: [email protected]

Intravenous-to-oral switch strategy is part of an antimicrobial stewardship programme that can reduce the length of hospitalization and lower associated costs. However, intravenous-to-oral switch data in the private healthcare setting in Malaysia is limited. The aim of this study was to explore factors that affect intravenous-to-oral switch decisions in the Malaysian private healthcare. This was a cross-sectional survey among four private hospitals. A total of 225 consultants, pharmacists and nurses were included. Mean assessment was based on a 5-point Likert scale; 1-very unimportant to 5-very important. Microbiology aetiology (4.12±0.93) was the most important clinical factor for deciding suitability of IVOS. Primary consultant preference (3.83±0.98) was the most important non-clinical factor. Respondents agreed that all healthcare professionals needed to be given intravenous-to-oral switch awareness (4.41±0.77). Understanding factors influencing Intravenous-to-oral switch decision and addressing misconceptions in beliefs are important to develop intravenous-to-oral switch and antimicrobial stewardship strategies in private hospitals.

PDF