Antibiotic Stewardship (ABS). Teil 1: Grundlagen

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • S. Wendt - , Leipzig University (Author)
  • D. Ranft - , Leipzig University (Author)
  • K. de With - , Division of Infectious Diseases, University Hospital Carl Gustav Carus Dresden (Author)
  • W. V. Kern - , University of Freiburg (Author)
  • B. Salzberger - , University of Regensburg (Author)
  • C. Lübbert - , Leipzig University (Author)

Abstract

Against the background of increasing antimicrobial resistance, antibiotic stewardship (ABS) is an important measure to counteract the spread of resistant pathogens and multidrug resistance. For Germany and Austria, a comprehensive S3 guideline is available, which was last updated in 2018. The control of antibiotic or anti-infective use in hospitals should be guided by specialized ABS teams. At the hospital level, ABS also includes a structured ongoing analysis of local antibiotic use and resistance data. Recommendations for locally adapted therapy regimens should be derived and implemented from this data analysis. ABS consists of regular ward rounds (“ABS visits”), during which members of the ABS team review the indication, dosage, route of administration and duration of antimicrobial therapy at the bedside. Here, the key challenge is to save antibiotics without compromising the individual patient. Digitalization and artificial intelligence offer new options for ABS, while the adaption of inpatient concepts to outpatient care is also important.

Translated title of the contribution
Antibiotic stewardship (ABS). Part 1
Basics

Details

Original languageGerman
Pages (from-to)375-387
Number of pages13
JournalDer Internist
Volume61
Issue number4
Publication statusPublished - 1 Apr 2020
Peer-reviewedYes

External IDs

PubMed 32144476
ORCID /0000-0001-9473-3018/work/148606207

Keywords

ASJC Scopus subject areas

Keywords

  • Anti-bacterial agents, Anti-infective agents, Antimicrobial stewardship, Drug resistance, microbial, Evidence-based practice, Guideline, Resources