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Q Bulletin, Volume 1, No. 32 (Supplement 1), Jan - Dec 202412th National QA Convention, 8 %u2013 10 October 2024QLL-90Clinical Audit on Antimicrobial Stewardship in Primary Healthcare Clinics inTumpat District, KelantanNurul Afifi A1, Tuan Zailina TN1, Nor Hashimah AG2, Lailatul Nur NA3, Mohamad Hafiz H3, HasneezahH31 Tumpat Health Clinic, Kelantan2 Sungai Pinang Health Clinic, Kelantan3 Tumpat District Health Of ice, KelantanINTRODUCTION:Antimicrobial resistance (AMR) is a major problem for healthcare, potentially causing 10 million deathsannually by 2050 if current trends continue. MRSA has spread from hospitals to communities, increasingrisks for everyone. Antimicrobial Clinical Audit (AMCA) is a core strategy in Antimicrobial Stewardshipprograms designed to control AMR by promoting proper antibiotic use.METHODOLOGY:A cross-sectional retrospective record review of 30 randomly selected samples from 11 health clinics inTumpat District, Kelantan, was conducted from May to June 2023. Data was analysed descriptively usingan Excel-based AMCA form from the Ministry of Health Malaysia (MOH). The audit reviewed 20 bestpractice elements for antibiotic prescribing, aiming for a score of 80% or more, as per MOH standards.The drug allergy statements and patient education on compliance and side effects were monitored inTumpat District.RESULTS:The majority of health clinic scored 80% or higher in good antibiotic prescribing practices. Sungai PinangHealth Clinic (73.3%) and Teluk Renjuna Health Clinic (78.5%) fell short of this target score. While mostaudit elements exceeded the 80% target, except for two crucial elements, viz. drug allergy statement(65.5%) and health education on compliance or side effects (69%).DISCUSSION:Between 2022 and 2023, there was a decline in the achievement score for good antibiotic prescribingpractices at Bunohan Health Clinic (90.8% to 80.0%) and Sungai Pinang Health Clinic (79.4% to 73.3%).These results highlight the importance of targeted improvements to enhance the quality of clinicalpractices in antibiotic prescription among health clinics.186 | Page