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CTRI Number  CTRI/2024/02/062204 [Registered on: 01/02/2024] Trial Registered Prospectively
Last Modified On: 24/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Qualitative 
Study Design  Other 
Public Title of Study   Difficulties Encountered in Promoting Responsible Use of Antibiotics at a Hospital 
Scientific Title of Study   Challenges Facing in the Implementation of Antimicrobial Stewardship in a Tertiary Care Hospital 
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 Yogendra Shrestha 
Designation  Associate Professor 
Affiliation  Seven Hills College of Pharmacy (Autonomus) 
Address  Department of Pharmacy Practice, Venkatramapuram, Tirupati

Chittoor
ANDHRA PRADESH
517561
India 
Phone  7348944358  
Fax    
Email  dryogendrastha@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Venkatawari Lavanya 
Designation  Student 
Affiliation  Seven Hills College of Pharmacy (Autonomus) 
Address  Department of Pharmacy Practice, Venkatramapuram, Tirupati

Chittoor
ANDHRA PRADESH
517561
India 
Phone  9391798565  
Fax    
Email  lavanyavenkatawari@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Vavitikalava Sai Sreekar 
Designation  Student 
Affiliation  Seven Hills College of Pharmacy (Autonomus) 
Address  Department of Pharmacy Practice, Venkatramapuram, Tirupati

Chittoor
ANDHRA PRADESH
517561
India 
Phone  7337280430  
Fax    
Email  sreekaryadavsai@gmail.com  
 
Source of Monetary or Material Support  
Seven Hills College of Pharmacy 
 
Primary Sponsor  
Name  Seven Hills College of Pharmacy 
Address  Venkatramapuram, Tirupati 
Type of Sponsor  Research institution 
 
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 Yogendra Shrestha  Sri Venkateswara Institute of Medical Sciences  Department of Pharmacy Practice, Seven Hills College of Pharmacy (Autonomous), Tirupati
Chittoor
ANDHRA PRADESH 
7348944358

dryogendrastha@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Venkateswara Institute of Medical Sciences, Tirumala  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Health Care Professional 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Adults of age above 20 years old.
2. The study includes the treating physician and pharmacist.
 
 
ExclusionCriteria 
Details  1. The participants age of below 20 years old.
2. Mental illness, duf and dum participants.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The study can identify factors affecting the implementation of Antimicrobial stewardship in the hospital.   3 months 
 
Secondary Outcome  
Outcome  TimePoints 
The study can help to form a new policy considering factors affecting the implementation of Antimicrobial Stewardship.   3 months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "90"
Final Enrollment numbers achieved (India)="90" 
Phase of Trial   N/A 
Date of First Enrollment (India)   04/02/2024 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="3"
Days="1" 
Recruitment Status of Trial (Global)
Modification(s)  
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  

Antimicrobial resistance (AMR) is a critical threat to public health around the world, and it is becoming more prevalent. India is the nation that uses the most antibiotics globally and has the highest incidences of infectious diseases. The scoping report on antimicrobial resistance in India indicated that more than 70% of the isolates of Escherichia coli, Klebsiella pneumoniae, and Acinetobacter baumannii, and almost half of all Pseudomonas aeruginosa, were resistant to fluoroquinolones and third generation cephalosporins. The emergence of resistance in India has been attributed in important part to the unregulated over-the-counter availability of antibiotics and non-compliance with the recommended treatment duration. The other possible reasons for the emergence of resistant pathogens are antibiotic misuse, overuse, and self-medication. Antibiotic overuse in India has been reported by various studies. 

 
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