Page 6 - HPP ANTIMICROBIAL GUIDELINE 2018

FOREWORD

Antimicrobial resistance (AMR) is increasing and is now a global public health
threat. Infections caused by antimicrobial-resistant micro-organisms are associated with
increased morbidity, mortality and healthcare costs. Inappropriate and non-judicious
use of antimicrobials is associated with the emergence of AMR.

Recognizing the urgent need for an antibiotic guideline in Hospital Pulau Pinang
(HPP), a group of adult and paediatric infectious disease physicians, clinical
microbiologists and pharmacists have reviewed multiple international guidelines and
our own Malaysia National Antimicrobial Guideline (NAG) 2014. This hospital
antibiogram for past one year was also analysed in order to create an evidence based
guideline for the use in HPP. We are thankful to all the Head of Departments who had
given their expert opinions on the draft and agreed on the content. I am honoured to

introduce the first edition HPP antimicrobial guideline 2018 which will be launched in
conjunction with the World Antibiotic Awareness Week Campaign in our hospital.

It is estimated that 30- 40% of hospital antimicrobial use is inappropriate. With
this guideline, we sincerely hope that all clinicians in HPP will adopt and support the

use of it by prescribing antimicrobial according to what is stated in the document. In the
future, any antimicrobial audit can be done as we have our own guideline for reference.
This guideline will be updated on a regular basis taking into the consideration the
changing antibiogram and cost effectiveness of treatment.

Thank you.

Dr Chow Ting Soo
Antimicrobial Management Team Officer
Infection Prevention and Control Coordinator
MMC Full Reg. No: 33721
Hospital Pulau Pinang

HPP AMG