Kernaussagen
Die Verordnung von Antibiotika im ambulanten, wie im stationären Bereich ist trotz vieler Empfehlungen zu den verschiedensten Aspekten des Einsatzes immer noch als problematisch einzustufen. Aufgrund der vielfältigen immer deutlicher werdenden Auswirkungen dieser Substanzgruppe auf den Patienten, die Mikroorganismen und die Umwelt, mehren sich die Versuche, die Verordnungsgewohnheiten deutlich zu ändern. Deshalb wäre es dringend notwendig, in den Empfehlungen/Leitlinien der Fachgesellschaften zur Antibiotikatherapie neben allgemein gehaltenen Verordnungshinweisen auch eine Verpflichtung zur Einführung geeigneter Antibiotika-Kontroll-Strukturen aufzunehmen und praktische Hinweise zur Umsetzung zu geben. Das Installieren irgendeines, der in der Fachliteratur diskutierten, Antibiotika-Strategieprogramme, welches aber typischerweise Fortbildung, Antibiotika-Verbrauchsanalysen und die Möglichkeit, auf Experten-Konsile zurückzugreifen enthalten muss, ist besser als die Alternative einer unkontrollierten Antibiotikaanwendung, wie sie heutzutage überwiegend praktiziert wird [30].
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PD Dr. med. habil. Heinz-Michael Just
Klinikum Nürnberg
Prof.-Ernst-Nathan-Straße 1 · 90419 Nürnberg
Email: b.wagner@klinikum-nuernberg.de
