Medical Journal: Volume-11, Issue-8, August 2025

Abstract—
Background: Fosfomycin is approved by the FDA for treating uncomplicated cystitis caused by Escherichia coli and Enterococcus faecalis. However, it is often prescribed off-label for broader indications, with limited data on physician knowledge and practice patterns.
Methods: We surveyed residents in the Yale New Haven Internal Medicine Residency program across three teaching hospitals to assess awareness, prescribing habits, and perceived indications for fosfomycin.
Results: Seventy-eight residents responded (58% response rate); 89.7% were familiar with fosfomycin, and 71.4% had prescribed it. The most common indication was uncomplicated cystitis (94.3%), followed by pyelonephritis (41.4%) and prostatitis (32.9%). E. coli (71.4%) and Klebsiella pneumoniae (68.6%) were the most frequently selected organisms. Only 30% correctly identified uncomplicated cystitis as the sole FDA-approved indication, and no responses fully aligned with the approved spectrum of use.
Conclusion: Internal medicine trainees demonstrated significant gaps in knowledge regarding fosfomycin’s approved role. Educational efforts are needed to promote judicious prescribing and preserve its effectiveness against multidrug-resistant pathogens.
Keywords— Fosfomycin, Antibiotic stewardship, Urinary tract infection (UTI), Multidrug-resistant organisms (MDRO), Off-label prescribing, Internal medicine trainees, Extended-spectrum beta-lactamases (ESBL), Antimicrobial resistance.

Abstract—
Introduction: Patient satisfaction has emerged as a critical quality indicator, directly influencing patient compliance, treatment outcomes, and overall perception of healthcare services. The aim of this research was to evaluate patient satisfaction with the Radiological services provided at tertiary care Hospital in Rajasthan.
Methodology: This cross-sectional study was conducted sto assess patient satisfaction with radiological services in the radiology department of a tertiary care hospital located in Rajasthan from 1st December 2021 to 28th February 2022 among 400 patients who underwent radiological procedures, including MRI, CT scan, ultrasound, and X-ray using a predesigned questionnaire.
Results: Among the 400 participants in the study, 52% were female and maximum 68% were of the age group 18–45 years. Education level of maximum participants was higher secondary education (31.5%), followed by graduation (27%). Most frequently availed service was USG (29%) followed by X-ray (26%), MRI (24.75%) and CT scan (20.25%). 81.75% reported healthcare facility accessible. Waiting time for procedures was 15 minutes (40.25%), 15–30 minutes (19.75%) and more than 1 hour (24.25%). 64.5% were satisfied with comfort of waiting chairs while 35.5% were dissatisfied. Staff was courteous (20%) and very courteous (65%). 76% satisfied and 5% very satisfied with cleanliness and hygiene, though 9% expressed dissatisfaction. Procedure was clearly explained among 72%. 62% were satisfied, 3% were very satisfied with privacy and comfort during procedures. 44.5% showed dissatisfaction with turnaround time for reports. Most patients (90%) confirmed receiving instructions during the examination. Overall satisfaction with services was among 72.25% including 19.5% very satisfied and 52.75% satisfied, 15.25% neutral while 12.25% dissatisfied and 0.25% were very dissatisfied.
Conclusion: Addressing waiting times and report turnaround times is crucial for enhancing patient satisfaction and ensuring patient-centered care.
Keywords— Patient Satisfaction, Radiology, Radiological Services, Diagnostic Imaging, MRI, CT Scan, Ultrasound, X-Ray, Tertiary Care Hospital, Rajasthan.