Conclusion
Compared to the SHEA/IDSA international guidelines for women who
delivered by c-section, our data show large deviations in antibiotic
prescribing practices both pre and post-operatively, as well as among
different prescribers. Our findings raise questions on whether insisting
on a single pre-operative antibiotic dosing regimen, established based
on research in developed settings, oversimplifies the challenges of
providing optimal care for women undergoing a c-section in this
environment. More data is needed to guide development of area-specific
guidelines that are both effective and feasible. Furthermore, studies
exploring the rationale of antibiotic prescribing decisions, those
assessing the effect of over-prescription on infection prevention, and
those tracking evolving antibiotic sensitivity are recommended to guide
evidence-based antibiotic prescription practices.