Dtsch Med Wochenschr 2004; 129(38): 1987-1992
DOI: 10.1055/s-2004-831838
Übersichten
Infektiologie
© Georg Thieme Verlag Stuttgart · New York

Antibiotikaanwendung in Deutschland im europäischen Vergleich[1]

Antibiotic use in Germany and EuropeK. de With1 , H. Schröder2 , E. Meyer3 , K. Nink2 , S. Hoffmann1 , M. Steib-Bauert1 , R. Kämmerer4 , S. Rueß5 , F. D. Daschner3 , W. V. Kern1
  • 1Medizinische Klinik und Poliklinik, Klinikum der Albert-Ludwigs-Universität, Freiburg
  • 2Wissenschaftliches Institut der AOK (WIdO), Bonn
  • 3Institut für Umweltmedizin und Krankenhaushygiene, Klinikum der Albert-Ludwigs-Universität, Freiburg
  • 4Bundesministerium für Gesundheit und Soziale Sicherung, Bonn
  • 5Fachbereich Informatik, Fachhochschule Ulm
Further Information

Publication History

eingereicht: 24.2.2004

akzeptiert: 3.6.2004

Publication Date:
16 September 2004 (online)

Summary

In view of increasing rates of antibiotic resistance worldwide and decreased research and development of new antibacterial compounds, programmes helping to better understand the complex relationship between antibiotic consumption and emergence of resistance have gained importance. Consequently, in addition to increased support for research projects that establish prospective surveillance and evaluation of antibiotic resistance and antimicrobial drug use, the EU has passed directives addressing political leadership in this respect. Information on antibiotic use in Germany is now available from databases independent from cost-oriented market research studies. This information allows estimation of antibiotic use in ambulatory and hospital care as compared with to other EU countries. According to results of current projects, the frequency of national antibiotic use in ambulatory care in Germany (4948 defined daily doses per 1000 population per year) falls within the lower third of EU countries. Upper boundaries in regional variation in antibiotic use are still much lower than values for high-use countries like France, Spain and Portugal. Hospital antibiotic use, in contrast, appears to be in the range of that reported for other countries. However, only rough estimates of hospital antibiotic use are available for Germany as well as most other EU countries due to data usually derived from non-representative hospital sampling.

1 Die hier dargestellten Forschungsprojekte wurden finanziell unterstützt durch die Meta-Alexander-Stiftung, durch die BMBF-Förderprogramme 01 KI 9951 und 01 KI 9907 sowie durch die EU (SI2.325736). H. Schröder und W. V. Kern sind die Vertreter Deutschlands innerhalb des Forschungsnetzwerks „European Surveillance of Antibiotic Consumption” (ESAC).

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1 Die hier dargestellten Forschungsprojekte wurden finanziell unterstützt durch die Meta-Alexander-Stiftung, durch die BMBF-Förderprogramme 01 KI 9951 und 01 KI 9907 sowie durch die EU (SI2.325736). H. Schröder und W. V. Kern sind die Vertreter Deutschlands innerhalb des Forschungsnetzwerks „European Surveillance of Antibiotic Consumption” (ESAC).

Prof. Dr. Winfried V. Kern

Sektion Infektiologie und Reisemedizin, Medizinische Klinik und Poliklinik, Klinikum der Albert-Ludwigs-Universität

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79106 Freiburg

Phone: +49/761/2701819

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Email: info@if-freiburg.de

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