Antibiotic Stewardship – eine Einführung

Draenert, Rika (2022): Antibiotic Stewardship – eine Einführung. In: Zeitschrift für Pneumologie, Bd. 19, Nr. 6: S. 335-342

Abstract

The goal of antibiotic stewardship (ABS) is a rational administration of antibiotics in all areas of human medicine;however, the idea increasingly applies not only to antibiotics but to anti-infective agents in general. The main reason for the implementation of ABS is the alarming global development of bacterial resistance, which can be attributed to the increasing use of antibiotics globally with a 65% rise in antibiotic consumption from 2000 to 2015. For some time Germany dragged behind many other countries in terms of ABS;however, within the past few years substantial progress has been made. Specifically, interdisciplinary ABS teams are being established in German hospitals;however, ABS projects at the level of a town or a geographic region are also being established, which particularly include general practitioners, and national efforts, such as the choosing wisely recommendations of the German Society of Internal Medicine (DGIM), supplement these efforts. All these efforts are worthwhile as many publications show. By implementing ABS measures the use of antibiotics can be clearly reduced. Very elaborate evaluations conducted over many years were also able to show that the bacterial resistance rate is actually reduced by ABS interventions. This holds true for Germany as well. An analysis that was published in 2020 showed that the antibiotic consumption is decreasing slowly in Germany, especially in the pediatric and adolescent medicine sector. Substances, such as cephalosporins and fluoroquinolones are used in decreasing amounts, whereas aminopenicillins are applied more often, in line with ABS.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 2731-7404
• Sprache: Deutsch