The Universiti Malaya Medical Centre is proud to announce the release of the third edition of its Online Antimicrobial Guidelines, designed to promote judicious antimicrobial prescribing and to support our collective efforts in antimicrobial stewardship. This edition integrates the latest global evidence on antimicrobial treatments, ensuring that healthcare professionals are equipped with the most current knowledge to make informed decisions. Notably, it aligns with our hospital’s latest antibiogram, offering a tailored approach to addressing local resistance patterns. In a time where antimicrobial resistance continues to pose a significant threat to global public health, this guideline serves as a critical tool in combating the misuse of antimicrobials. It emphasizes best practices in treatment selection, proper dosing, and duration of therapy, aiming to curb the emergence of resistant organisms. Whether you are a clinician, pharmacist, or medical student, this guideline empowers you to be part of a collaborative effort in preserving the effectiveness of existing antimicrobials for future generations. Together, we can strengthen our stewardship efforts and combat the rising tide of antimicrobial resistance.
Antimicrobial Guidelines, 3rd Edition
Section A
1.0 Acknowledgment
1.1 Preface
2.0 Principles of Antimicrobial Prescribing
3.0 Adult Guidelines
Section C
5.0 Antimicrobial Dosage Adjustment in Adults
with Impaired Renal Function
6.0 Antimicrobial Classification Restriction
6.1 Meropenem Restriction Guidelines
6.2 Ciprofloxacin Restriction Guidelines
6.3 WHO AWaRe (access, watch, reserve)
Classification of Antibiotics
7.0 Clinical Pathways and Protocols
7.1 Clinical Pathway for Staphylococcus aureus
Bacteraemia
7.2 Treatment Algorithm for Staphylococcus aureus
Bacteraemia
7.3 Clinical Pathway for Invasive Klebsiella Syndrome
(IKS)
7.4 Penicillin Allergy Delabeling Protocol
7.5 Guideline of Prolonged Infusion of Meropenem
Disclaimer:
The recommendations given in this guide are meant to serve as treatment guidelines. They should NOT supplant clinical judgement or Infectious Diseases consultation when indicated.
The recommendations were developed for use at University Malaya Medical Centre and thus may not be appropriate for other centres.
We have attempted to verify that all information is correct, but because of ongoing research, the practice may change.