MANAGEMENT OF UPPER RESPIRATORY TRACT INFECTIONS IN KINTA DISTRICT, PERAK

  • Hairnl Izwan AR Klinik Kesihatan Gunung Rapat, ]alan Gopeng, 31350 Ipoh, Perak.
  • Hazlee AH Klinik Kesihatan Gunung Rapat, ]alan Gopeng, 31350 Ipoh, Perak.
  • Noridah O. Klinik Kesihatan Gunung Rapat, ]alan Gopeng, 31350 Ipoh, Perak.
Keywords: Upper respiratory tract infections, Group A Streptococcus, Kinta District

Abstract

Upper respiratory tract infections (URTI) are the most common diseases treated in the primary health care centres in Kinta District, Perak. Thus, a retrospective study was undertaken to examine the documentation of the presentation of patients diagnosed with URTI and their antibiotic treatment at two health care centres in Kinta district. The randomly selected case notes of 700 patients documented the following symptoms, fever (43.29%), cough (68.14%), no cough (24.43%), nasal symptoms (35 .29%), sore throat ( 46.00%), headache ( 13.57%), bodyache (3.57%), earache ( 1.86%) and gastrointestinal symptom (0.14%). Analysis of results using 'sore throat score' and 'suggested appropriate management' adopted from a study by Warren et al. revealed poor correlation between diagnosis of URTI and the need for antibiotic therapy. Therefore, a clinical score for patients with sore throat can be introduced to overcome inappropriate prescription of antibiotics.

References

1. Kejadian kes Asthma, ARI dan Conjunctivitis. Laporan Tahunan 2000 Pejabat Kesihatan Kinta: pp 39, 2000

2. Commission on Acute Respiratory Diseases. Endemic exudative pharyngitis and tonsillitis. Etiology and clinical characteristics. JAMA 1944; 125:1161-1169

3. Facklam RR, Washington JA III. Streptococcus and related catalase-negative gram-positive cocci. In: Balows A, Hauser WJ Jr, Hermann KL et al. Manual of Clinical Microbiology. 5th ed. Washington: American Society for Microbiology 1991: 238-257

4. Nicholas Z, Jael W, Jill G et al. Influencing antibiotics prescribing in general practice: a trial of prescriber feedback and management guidelines. J Fam Pract 1999; 5: 495-500

5. Soumerai SB, McLaughlin TJ, Avom J. Improving drug prescribing in primary care: a critical analysis of the experimental literature. MillbankQ 1989; 76: 268-315

6. Hart WJ. Streptococcal pharyngitis. A demonstration of the inaccuracy of clinical diagnosis without culture. Canadian Fam Physician 1976; 22: 34-39

7. ShankJC, Powell TA. A five-year experience with throat cultures. J Family Pract 1984; 18: 857-863

8. Centor RM, Witherspoon JM, Dalton HP. The diagnosis of strep throat in adults in the emergency room. Medical Decision Making 1981; 1: 239-246

9. Warren JM, David W, David T, Donald EL. A clinical score to reduce unnecessary antibiotic use in patients with sore throat. CMA] 1998; 158: 75-83

10. Mcisaac WJ, Goel V, Slaughter PM. Reconsidering sore throats. Part 2: Alternative approach and practical office tool. Canadian Fam Physician 1997; 43: 495-500

11. Touw-Otten FWM, Staehr Johansen K. Diagnosis, antibiotic treatment and outcome of acute tonsillitis: report of a WHO regional office for Europe study in 17 European Countries. Fam Pract 1992; 9: 255-267

12. Middleton D B, D' Amico F, Merenstein J H. Standardised symptomatic treatment versus penicillin as therapy for streptococcal pharyngitis. J Pediatr 1985; 106: 870-874

13. Dagnelie CF, Van Der Graaf Y, De Melker RA. Do patients with sore throat benefit from penicillin? A randomized double-blind placebo-controlled clinical trial with penicillin V in general practice. Br J Gen Pract 1996; 46: 589-593
Published
2003-09-01
How to Cite
Hairnl Izwan AR, Hazlee AH, & Noridah O. (2003). MANAGEMENT OF UPPER RESPIRATORY TRACT INFECTIONS IN KINTA DISTRICT, PERAK . Malaysian Journal of Public Health Medicine, 3(2), 10-13. Retrieved from https://mjphm.org/index.php/mjphm/article/view/1300
Section
Articles