- Mots-clés > antibiotic prophylaxis
- Mots-clés > antimicrobial resistance (AMR)
- Mots-clés > best practice protocols
- Mots-clés > cesarean section
- Mots-clés > continuous quality improvement
- Mots-clés > evidence-based medicine (EBM)
- Mots-clés > health system strengthening
- Mots-clés > medicine-use indicators
- Mots-clés > standard treatment guidelines (STG) - effect
- Mots-clés > treatment protocols
(2013; 146 pages)
Gammouh S, and M. Joshi. 2013. Improving Antibiotic Prophylaxis in Cesarean Section in Jordanian Hospitals: SIAPS Technical Report. Submitted to the US Agency for International Development by the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. Arlington, VA: Management Sciences for Health.
About one-third to one-half of all antibiotics used in hospitals is for surgical prophylaxis; however, 30 to 90 percent of this use is inappropriate. The Jordan Food and Drug Administration (JFDA) recently conducted a study in Jordanian hospitals that provided data on surgical antibiotic prophylaxis practices, including for cesarean section.
The study findings indicated that these practices could be improved. In the context of the JFDA’s study findings and recommendations, the U.S. Agency for International Development-funded Strengthening Pharmaceutical Systems (SPS) program, and its follow-on Systems for Improved Access to Pharmaceuticals and Services (SIAPS), provided technical assistance to help strengthen practices regarding antibiotic prophylaxis for cesarean sections at three Ministry of Health (MOH) hospitals in Jordan—Prince Hussein Hospital, Prince Faisal Hospital, and Dr. Jameel Al Totanji Hospital.
In conclusion, the pilot program for improving antibiotic prophylaxis in CS in Jordanian hospitals led to local capacity-building, health system strengthening, improved performance and service delivery, and a move toward sustainability.