A cross sectional study for estimation of adherence to the institutional antibiotic policy in level III neonatal intensive care unit, Pune, India

Antimicrobials are the most often used classes of medicines in the Neonatal Intensive Care Unit (NICU) with more than 80% of all NICU patients get antibiotics during their hospital stay.WHO identified antibiotic resistance as a persistent danger to public health - made significant changes to the essential medications list, categorizing antibiotics into three categories- aware (access, watch, and reserve) to ensure their availability and proper use.Infection is very common and so is the use of AMAs. Antimicrobial Resistance (AMR)has developed as a result of the complexity and difficulty of treating neonatal sepsis, which has triggered increase use of antibiotics, particularly broader spectrum antibiotics resulted in rise in Antimicrobial Resistance. These difficulties are persistent and more pervasive, according to a more recent systematic review from 2019 on AMR in newborn sepsis in South Asia .It is of paramount importance to use the available AMAs with utmost care. As a result, it will be worthwhile to perform a present study to capture the details of the use of AMAs and to verify its rationality in this institute’s Medical NICU.