Volume : 13, Issue : 06, June – 2026
Title:
DRUG UTILIZATION EVALUATION OF BROAD-SPECTRUM ANTIBIOTICS IN THE GENERAL MEDICINE DEPARTMENT OF ESI HOSPITAL, NACHARAM
Authors :
Goutham Duddela, Avinash Neerudi, Pendem Meghana, Marka Varshitha, Gorrelka Udaya sree
Abstract :
Background: One of the biggest health dangers today comes from microorganisms that survive medicine, which are meant to kill them. A hospital in Nacharam, focused on worker wellness, offers rare insights into how doctors hand out these medicines. When strong drugs are used without any proper reason or required diagnosis, microbes adapt faster, therapy becomes costly, and patients face a greater risk of antibiotic resistance.
Objective: To check how often doctors prescribe a wide range of antibiotics to adult patients at ESI Hospital’s general medicine unit in Nacharam, Hyderabad. The review looks into whether drugs prescribed fit medical standards. It examines whether treatments follow recommended guidelines or stray from them.
Method: A Retrospective observational Drug Utilization Evaluation (DUE) study was conducted on 150 adult patients got picked if they took any wide-range antibiotic during the three-month checked at ESI Hospital Nacharam. Running nonstop for twelve weeks, the look into drug habits stayed close to real-world care without changing usual routines. Data on patient demographics, clinical diagnosis, antibiotic selection, dose, frequency, route and culture testing practices were systematically collected and evaluated against national rules, and along with the global WHO AWaRe categories, shaped the frame used to judge each choice made by doctors.
Results: 150 patients (mean age 49.6 ± 15.2 years; 56% male) were analyzed in the general medicine ward of ESI hospital Nacharam. Ceftriaxone (46%), piperacillin-tazobactam (30%), meropenem (12%), and levofloxacin (12%) were the most commonly prescribed drugs amoung the all antibiotics . The Empirical prescribing accounted for 75% of prescriptions, culture and sensitivity testing was performed in only 28% of cases. Overall prescription appropriateness was observed as 62%. WHO AWaRe distribution: Access 18%, Watch 68%, Reserve 14%.
Conclusion: Substantial empirical prescribing, suboptimal microbiological testing, and moderate guideline adherence were identified at ESI Hospital Nacharam. Implementation of a DUE program integrated with a clinical pharmacist led antimicrobial stewardship program (ASP) is urgently recommended.
Keywords: Drug Utilization Evaluation, Antimicrobial stewardship, Rational -prescribing, Antimicrobial resistance, WHO AWaRe categories, Empirical prescribing
Cite This Article:
Please cite this article in press Goutham Duddela et al., Drug Utilization Evaluation Of Broad-Spectrum Antibiotics.., Indo Am. J. P. Sci, 2026; 13(06).
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