Evidence map›Paper›PMID 41890384›Full record

ArticleJournal of pharmacy & bioallied sciences

Analysis of Antimicrobial Utilization Pattern in Neonatal Intensive Care Unit: A Prospective Observational Study.

Sujitha Krishnamurthy, Bhavani K Ramakrishna, Rajesh Rajendiran, TamilSelvan Kumar, P Fairlin, Obukavitha Dhanabalan

Abstract read
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Article in Journal of pharmacy & bioallied sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sujitha KrishnamurthyDepartment of Pharmacology, Vinayaka Mission's Kirupananda Variyar Medical College and Hospital, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India.
Bhavani K RamakrishnaDepartment of Pharmacology, Armed Forces Medical College, Southern Command, Pune, Maharashtra, India.
Rajesh RajendiranDepartment of Hospital Administration, Armed Forces Medical College, Southern Command, Pune, Maharashtra, India.
TamilSelvan KumarDepartment of Periodontology, Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India.
P FairlinDepartment of Periodontology, Rajas Dental College and Hospital, Tirunelveli, Tamil Nadu, India.
Obukavitha DhanabalanDepartment of Pediatric and Preventive Dentistry, Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To analyze patterns of antimicrobial utilization and associated outcomes among neonates admitted to the neonatal intensive care unit (NICU) of a tertiary hospital in Madikeri, Karnataka, India. Materials and Methods: A prospective observational study was conducted over 18 months (January 2021-June 2023) in the NICU of Kodagu Institute of Medical Sciences. Data on demographics, diagnoses, antimicrobial prescriptions, dosing patterns, and outcomes were recorded. Rationality was assessed using the World Health Organization (WHO) prescribing indicators. Results: Of 1,072 neonates admitted, most received empirical antimicrobial therapy. Jaundice (40%) was the leading diagnosis, followed by respiratory distress syndrome (15%) and sepsis (12%). Cephalosporins (45%) and aminoglycosides (30%) were the most frequently prescribed classes, with amikacin-cefotaxime the predominant regimen. Over 80% of prescriptions were empirical, with limited culture-based modification. Adverse drug reactions occurred in 3% of neonates and were mild. Conclusion: Empirical, broad-spectrum antimicrobial use predominated, highlighting the need for enhanced culture-based therapy and stewardship interventions to limit resistance.

Indexed as

Antimicrobial resistanceantimicrobial utilizationdrug utilization studyneonatal intensive care unit

Identifiers

PMID41890384
PMCPMC13016163

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