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[Paths to the professional and responsible use of antibiotics].
- Source :
-
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz [Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz] 2018 May; Vol. 61 (5), pp. 572-579. - Publication Year :
- 2018
-
Abstract
- Germany's position on prescribing antibiotics is among the lower third in Europe. There are some countries that prescribe remarkably fewer antibiotics. In Germany, the number of out-patient antibiotic prescriptions is too high for patients with low-grade infections and non-bacterial infections. Often, broad-spectrum antibiotics are prescribed instead of narrow-spectrum antibiotics. For in-patients, perioperative prophylaxis is given for too long.In this article, different ways to reduce antibiotic prescriptions are introduced. Recommendations are given to improve the quality of therapy, implementation of diagnostics and scores, as well as information for physicians and patients.In this regard, an unsystematic literature search was done.To optimise the quality of prescribing, antibiotic checklists should be used. The important initial questions are if there is a bacterial infection and if antibiotic therapy is necessary. To apply diagnostics correctly is essential. Antibiotic use can be shortened or in some cases totally omitted if point-of-care tests (POCTs) are applied correctly. Species identification and resistance testing are essential for quality assurance. S3-guidelines are central for modern evidence-based medicine. Another key factor is good communication within the team and with patients. All measurements, like the application of POCTs, back-up prescribing, and prescribing an antibiotic, have to be communicated in a clear and sensitive way.
- Subjects :
- Bacterial Infections diagnosis
Cross Infection diagnosis
Cross Infection microbiology
Germany
Guideline Adherence
Humans
Inappropriate Prescribing prevention & control
Inappropriate Prescribing statistics & numerical data
Point-of-Care Testing
Practice Patterns, Physicians'
Quality Assurance, Health Care
Ambulatory Care
Antimicrobial Stewardship
Bacterial Infections drug therapy
Bacterial Infections microbiology
Cross Infection drug therapy
Drug Resistance, Multiple, Bacterial
Subjects
Details
- Language :
- German
- ISSN :
- 1437-1588
- Volume :
- 61
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
- Publication Type :
- Academic Journal
- Accession number :
- 29582099
- Full Text :
- https://doi.org/10.1007/s00103-018-2723-1