Archive · 22 Jul 2026
India Overuses 'Watch' Antibiotics, Underuses 'Reserve' Drugs
A big study in The Lancet found that India is using too many 'watch' antibiotics, which are strong medicines that should only be used for specific infections.
This means some people might be taking these strong medicines when they don't need to, while others might not be getting the right medicines for their infections.
The study also found that India is not using enough 'access' antibiotics, which are the first-choice medicines for common infections, and 'reserve' antibiotics, which are the last-resort medicines for very tough infections.
This is a problem because it can make it harder to treat infections in the future.
The study looked at antibiotic use in 186 countries and found that most countries are using too many antibiotics overall, especially the ones that can cause resistance.
This means we need to be more careful about how we use antibiotics to make sure they work when we really need them.
India uses more 'watch' antibiotics than ideal, with 9.3 DID compared to the estimated 6 DID.
India underuses 'access' antibiotics, with 4.5 DID compared to the estimated 7.8 DID.
India underuses 'reserve' antibiotics, with 0.19 DID compared to the estimated 0.99 DID.
Global antibiotic use is excessive, with 72% of countries using more antibiotics than necessary.
99% of countries overuse 'watch' antibiotics, contributing to antimicrobial resistance.
- Who
- Researchers from The Lancet Public Health, One Health Trust, Princeton University, and City St George’s, University of London
- What
- India's antibiotic use is skewed towards 'watch' antibiotics, with underuse of 'access' and 'reserve' antibiotics
- When
- Study published in The Lancet Public Health
- Where
- India and 186 countries and territories worldwide
- Why
- To estimate antibiotic use based on infection burden and antimicrobial resistance patterns
Antibiotic Overuse
Antibiotic Underuse
Antibiotic Classification
Antibiotic Overuse
India is overusing 'watch' antibiotics, which are broad-spectrum and should be reserved for specific infections.
Antibiotic Underuse
India is underusing 'access' antibiotics, which are first-choice for common infections, and 'reserve' antibiotics, which are last-resort for multidrug-resistant infections.
- Ideal Antibiotic Use in India
- 14.7 DID (7.8 DID 'access', 6 DID 'watch', 0.99 DID 'reserve')
- Actual Antibiotic Use in India
- 18.3 DID (4.5 DID 'access', 9.3 DID 'watch', 0.19 DID 'reserve')
- Global Antibiotic Use
- 72% of countries use more antibiotics than necessary
- Global 'Watch' Antibiotic Use
- 99% of countries overuse 'watch' antibiotics
- Global 'Access' Antibiotic Use
- 60% of countries underuse 'access' antibiotics
- Global 'Reserve' Antibiotic Use
- 52% of countries underuse 'reserve' antibiotics
- WHO Target for 'Access' Antibiotics
- 70% by 2030