Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Availability of Essential Antimicrobials in Public and Private Sector Facilities: A Cross-Sectional Survey in a District of North India

Version 1 : Received: 28 November 2023 / Approved: 28 November 2023 / Online: 29 November 2023 (11:04:15 CET)

A peer-reviewed article of this Preprint also exists.

Mittal, N.; Mittal, R.; Singh, S.; Godara, S. The Availability of Essential Antimicrobials in Public and Private Sector Facilities: A Cross-Sectional Survey in a District of North India. Antibiotics 2024, 13, 131. Mittal, N.; Mittal, R.; Singh, S.; Godara, S. The Availability of Essential Antimicrobials in Public and Private Sector Facilities: A Cross-Sectional Survey in a District of North India. Antibiotics 2024, 13, 131.

Abstract

(1) Background: There is a need to assess the availability of essential antimicrobials as the availability of an antimicrobial is a critical element of its rational use. We aimed to assess the availability of antimicrobials listed in National List of Essential Medicines 2015, India (primary list) and a selected (secondary) list comprising of agents indicated for commonly encountered infectious illnesses in various healthcare settings and to identify the reasons for their non-availability. (2) Methods: A cross-sectional survey of 25 public, private, and other sector pharmacies was carried out in Rohtak, a district of North Indian state of Haryana, from April to June 2022. (3) Results: Most of the antimicrobials surveyed were optimally available in various sector pharmacies with the exception of benzathine benzyl penicillin, benzyl penicillin, cloxacillin, cefazolin, cefuroxime, cefadroxil, amphotericin B and antimalarials. Most frequent reasons for limited availability were low demand, no prescriptions and non-listing of drugs in state essential medicine list. (4) Conclusions: Enough evidence needs to be generated with respect to status of availability of essential antimicrobials from different regions of India as well as other lower-middle income countries to devise measures for ascertaining better availability of these agents especially antibiotics at regional, national and global scales.

Keywords

essential antimicrobials; essential medicine list; drug procurement; gap analysis; paediatric antibiotic formulations

Subject

Medicine and Pharmacology, Pharmacology and Toxicology

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