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CTRI Number  CTRI/2024/05/067230 [Registered on: 13/05/2024] Trial Registered Prospectively
Last Modified On: 23/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Assessment of details of the use of antimicrobial agents and its adherence to institutes antibiotic policy. 
Scientific Title of Study   A cross sectional study for estimation of adherence to the institutional antibiotic policy in level III neonatal intensive care unit, Pune, India 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shuktika Mishra  
Designation  JR-1 MD Pharmacology  
Affiliation  Bharati Vidyapeeth medical college and Hospital,Pune 
Address  Dept.of Pharmacology,Bharati ViDyapeeth deemed to be university Medical College, Maharashtra Pune 411041

Pune
MAHARASHTRA
411041
India 
Phone  7378628340  
Fax    
Email  shuktika.mishra-mcp@bharatividyapeeth.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sonali Suryawanshi 
Designation  Associate Professor 
Affiliation  Bharati Vidyapeeth medical college and Hospital,Pune 
Address  Dept.of Pharmacology, 1st Floor Medical college Bharati ViDyapeeth deemed to be university Medical College, Maharashtra Pune 411041

Pune
MAHARASHTRA
411041
India 
Phone  9403581114  
Fax    
Email  suryawanshi.sonali@bharatividyapeeth.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Sonali Suryawanshi 
Designation  Associate Professor 
Affiliation  Bharati Vidyapeeth medical college and Hospital,Pune 
Address  Dept.of Pharmacology, 1st Floor Medical college Bharati ViDyapeeth deemed to be university Medical College, Maharashtra Pune 411041

Pune
MAHARASHTRA
411041
India 
Phone  9403581114  
Fax    
Email  suryawanshi.sonali@bharatividyapeeth.edu  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Bharati Vidyapeeth medical college and Hospit 
Address  Bharati Vidyapeeth medical college and Hospital,Pune 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shuktika Mishra  Bharati Vidyapeeth Deemed To Be University  Neonatal Intensive care unit 1st floor Bharati Vidyapeeth Hospital,Pune
Pune
MAHARASHTRA 
7378628340

shuktika.mishra-mcp@bharatividyapeeth.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Comittee DCGI ECR 518  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: P369||Bacterial sepsis of newborn, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  28.00 Day(s)
Gender  Both 
Details  The neonates will eligible to be enrolled in the study if admitted in NICU who will be given one or more antibiotic  
 
ExclusionCriteria 
Details  The neonates will be excluded from the study if on treatment other than antibiotics
or who will get discharge or decease within 24 hours from admission

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To determine percentage of neonates receiving antibiotic treatment who comply with the Institution’s antibiotic policy.  1 Year 
 
Secondary Outcome  
Outcome  TimePoints 
1.To ascertain the outcome of neonates treated with antibiotics.
2.To assess proportion of neonates adhering to institutional antibiotic guidelines for Escalation / De-escalation / change of antibiotics
 
1 Year 
 
Target Sample Size   Total Sample Size="385"
Sample Size from India="385" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="200" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/05/2024 
Date of Study Completion (India) 30/06/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
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. 
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