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DOI: 10.1055/s-0030-1256056
© Georg Thieme Verlag KG Stuttgart · New York
Antibiotikamanagement-Programme – das zweite Standbein der Infektionskontrolle
Publication History
Publication Date:
27 December 2010 (online)
![](https://www.thieme-connect.de/media/krankenhaushygiene-u2d/201004/lookinside/thumbnails/10.1055-s-0030-1256056-1.jpg)
Kernaussagen
Antibiotikaresistenzen nehmen weltweit zu. Lokale Trends sind dabei sehr unterschiedlich und müssen bei der Erstellung eines Antibiotikakonzeptes für jede Klinik individuell berücksichtigt werden. Nur wenige neue Antibiotika befinden sich in der „Pipeline” der pharmazeutischen Industrie für die nächsten Jahre, sodass alles getan werden muss, um die Wirksamkeit des vorhandenen Antibiotika-Arsenals zu erhalten. Es besteht nicht nur ein großes Verbesserungspotenzial bei der empirischen Antibiotikatherapie, sondern auch bei der modernen mikrobiologischen Diagnostik. Nur ein multidisziplinärer Ansatz unter Beteiligung von Infektiologen, Klinikern, Mikrobiologen und Apothekern kann zum Erfolg führen. Leitlinien können und sollen das Denken und die individuelle Einschätzung der Patientensituation nicht ersetzen. Antibiotika-Management und Krankenhaushygiene sind die beiden Säulen der Resistenzvermeidung. Eine Bekämpfung der Ausbreitung multiresistenter Erreger ist nur durch die Kombination der beiden Ansätze zu optimieren: Blockierung der Übertragungswege und gleichzeitiger rationaler Antibiotikaeinsatz.
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Dr. med. Thomas Hauer
Ärztlicher Leiter, Facharzt für Hygiene und Umweltmedizin
Infektiologe (DGI)
Deutsches Beratungszentrum für Hygiene, BZH-GmbH
Schnewlinstr. 10
79098 Freiburg
hauer@bzh-freiburg.de