{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:18:57Z","timestamp":1787750337152,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:sec>\n                    <jats:title>OBJECTIVES:<\/jats:title>\n                    <jats:p>Prescribing patterns vary across primary, secondary, and tertiary care due to factors such as referrals and prior treatments. Tertiary care often involves higher-end drugs and more injectables for complex cases. This study assessed inpatient prescribing trends \u2013 antibiotic use, polypharmacy, and adherence to the National List of Essential Medicines \u2013 across hospital departments using the indigenous, validated digital analytics platform VaidyaRx.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODOLOGY:<\/jats:title>\n                    <jats:p>An observational study was conducted over 4 months (June\u2013September 2024) at SVS Medical College and Hospital, Mahabubnagar, Telangana, analyzing 2104 inpatient prescriptions from six clinical departments. The study evaluated drug utilization, antibiotic prescribing trends, and adherence to the NLEM guidelines. Data were analyzed using the descriptive statistics in Microsoft Excel and VaidyaRx.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The majority of patients (60.8%) were in the 19\u201365 age group, with orthopedics exhibiting the longest hospital stay (11.3 \u00b1 9.9 days). The average number of drugs per prescription was 8.6, with 17.0% prescribed as generics. Antibiotics were present in 66% of prescriptions, with Ceftriaxone (15.7%) being the most commonly prescribed. The WHO Access, Watch, and Reserve classification revealed 38.3% were from Watch, 32.4% Access, and 1.9% Reserve antibiotics. Adherence to NLEM 2021 was 59.3%, with pediatrics (70.5%) showing the highest compliance. 26.1% prescription had fixed-dose combinations, predominantly in orthopedics and pediatrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>This study highlights the importance of rational prescribing, minimizing inappropriate antibiotic use, and optimizing adherence to essential medicine list and supporting enhanced antimicrobial stewardship programs and digital analytics platforms, VaidyaRx to enable real-time prescription monitoring. Strengthening evidence-based prescribing practices is required to improve patient safety and better healthcare outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijp.ijp_836_25","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T18:00:19Z","timestamp":1782410419000},"page":"362-368","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of prescribing pattern with special reference to antibiotics, using digital platform among inpatients in a tertiary care hospital"],"prefix":"10.4103","volume":"58","author":[{"given":"Saumya","family":"Kankanala","sequence":"first","affiliation":[{"name":"SVS Medical College and Hospital, Mahabubnagar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna Prakash","family":"Joshi","sequence":"additional","affiliation":[{"name":"SVS Medical College and Hospital, Mahabubnagar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Nezamuddin","family":"Khan","sequence":"additional","affiliation":[{"name":"VaidyaRx Private Limited, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Dixit","sequence":"additional","affiliation":[{"name":"SVS Medical College and Hospital, Mahabubnagar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohini","family":"Gunasekaran","sequence":"additional","affiliation":[{"name":"VaidyaRx Private Limited, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarun","family":"Gupta","sequence":"additional","affiliation":[{"name":"VaidyaRx Private Limited, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogendra Kumar","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Pharmacology, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"R1-20260626","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1186\/1472-6963-13-170","article-title":"Assessment of drug use pattern using WHO prescribing indicators at Hawassa University Teaching and Referral Hospital, South Ethiopia: A cross-sectional study","volume":"13","author":"Desalegn","year":"2013","journal-title":"BMC Health Serv Res"},{"key":"R2-20260626","doi-asserted-by":"crossref","DOI":"10.1177\/20503121221096608","article-title":"Evaluation of antibiotic prescribing patterns among inpatients using World Health Organization indicators: A cross-sectional study","volume":"10","author":"Tadesse","year":"2022","journal-title":"Sage Open Medicine"},{"key":"R3-20260626","doi-asserted-by":"crossref","first-page":"130","DOI":"10.4103\/ijmr.ijmr_2309_22","article-title":"Evaluation of prescriptions from tertiary care hospitals 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Oman","volume":"31","author":"Al-Yamani","year":"2016","journal-title":"Oman Med J"},{"key":"R7-20260626","doi-asserted-by":"crossref","first-page":"27","DOI":"10.4103\/ijp.ijp_201_25","article-title":"Digital platform for prescription analytics and antibiotic surveillance in an outpatient department setup","volume":"57","author":"Kankanala","year":"2025","journal-title":"Indian J Pharmacol"},{"key":"R8-20260626","doi-asserted-by":"crossref","first-page":"888","DOI":"10.6026\/97320630018888","article-title":"Assessment of WHO core drug use indicators at a tertiary care Institute of National importance in India","volume":"18","author":"Chenchula","year":"2022","journal-title":"Bioinformation"},{"key":"R9-20260626","doi-asserted-by":"crossref","first-page":"1763","DOI":"10.18203\/2319-2003.ijbcp20183486","article-title":"Prescribing pattern and drug utilization study in inpatients of the department of orthopaedics in a rural teaching hospital of Ujjain, Madhya Pradesh, India","volume":"7","author":"Baghel","year":"2018","journal-title":"Int J Basic Clin Pharmacol"},{"key":"R10-20260626","doi-asserted-by":"crossref","first-page":"321","DOI":"10.4103\/ijp.ijp_976_21","article-title":"Assessment of prescribing pattern of drugs and completeness of prescriptions as per the World Health Organization prescribing indicators in various Indian tertiary care centers: A multicentric study by Rational Use of Medicines Centers-Indian Council of Medical Research network under National Virtual Centre Clinical Pharmacology activity","volume":"54","author":"Joshi","year":"2022","journal-title":"Indian J Pharmacol"},{"key":"R11-20260626","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1186\/s12889-024-17817-2","article-title":"Ten-year trends of antibiotic prescribing in surgery departments of two private sector hospitals in Central India: A prospective observational study","volume":"24","author":"Skender","year":"2024","journal-title":"BMC Public 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