Evaluation of vancomycin utilization in medical and pediatric wards: a retrospective cross-sectional study at Bule Hora University Teaching Hospital, Ethiopia

Vancomycin utilization at BHUTH demonstrated generally appropriate indication, dosing and frequency, but all prescriptions were empirical, without microbiological confirmation, and nearly one‑third had inappropriate treatment duration. These practices increase the risk of antimicrobial resistance, especially given vancomycin's WHO AWaRe classification as a Watch antibiotic.