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    NATIONAL ANTIBIOTIC GUIDELINE 2014  SECOND EDITION FULL WEB VERSION CAN BE DOWNLOADED FROM : DECEMBER 2014 This guideline is constantly being reviewed and will be updated periodically via website or app Copyright    2014  by MINISTRY OF HEALTH MALAYSIA. All rights reserved. No part of this publication may be reproduced without permission in writing from the publisher. Produced & Distributed by : PHARMACEUTICAL SERVICES DIVISION MINISTRY OF HEALTH MALAYSIA LOT 36, JALAN UNIVERSITI 46350 PETALING JAYA SELANGOR , MALAYSIA TEL : 603-78413200 FAX : 603-79682222 WEBSITE :  MESSAGE FROM THE DIRECTOR GENERAL OF HEALTH MALAYSIA The first edition of National Antibiotic Guideline was launched in 2008 with its primary aim to guide clinicians in the Ministry of Health in their empirical choice of antimicrobial agents. Nevertheless, local sensitivity patterns should also be taken into consideration where necessary. This guide is important to enhance appropriate prescribing of antimicrobials to avoid dubious indication and inappropriate duration. Even though treatment with antimicrobial agents has contributed to the reduction of infectious disease, there is still a concern for the development of antimicrobial resistance due to inappropriate use of antimicrobial. The emergence of antimicrobial resistance will require the antimicrobial to be used appropriately and effectively. 2 nd  Edition of National Antibiotic Guideline 2014 is in line with the Protocol on Antimicrobial Stewardship (AMS) Program in Healthcare Facilities, which was launched in 2014. Implementation of AMS program will use this guideline as reference for audit purposes. Both guidelines will hopefully benefit the clinicians and pharmacists in advocating good prescribing practice of antimicrobial and subsequently can curb antimicrobial resistance and minimize healthcare cost. I would like to congratulate all committee members, from various department, headed by Datuk Dr. Christopher Lee, for their great collaborative effort in revising and updating the first edition of National Antibiotic Guideline and thus, have come up with the 2nd edition with latest available evidence as possible. This collaborative effort is a reflection of great team work among officers in the Ministry of Health. Certainly, this is not an easy job; all the effort that was put in to produce this guideline should be appreciated. I strongly urge everyone in the Ministry of Health to make full use of this guideline as reference in their routine work. However, it is important to note that this guideline does not replace the need for consultation for expert advice and should always be tailored to each individual needs.
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