Fehler und Optimierungsbereiche bei der Verordnung von Antibiotika

Die inadäquate Verschreibung von Antibiotika ist ein ernstes Problem in Kliniken und Hausarztpraxen. Am häufigsten besteht Unsicherheit über die Indikation selbst und die Therapiedauer. Studien haben gezeigt, dass „Antibiotic Stewardship“-Programme bei der Fehlerminimierung und Verbesserung der Patientensicherheit helfen [1]. Für den Akutklinikbereich gibt es die S3-Leitlinie und Empfehlungen zur Strukturierung und personellen Ausstattung [2] [3].

Abstract

Inadequate antibiotic prescribing has been observed in many settings both in hospitals as well as in primary care. Most often there is uncertainty about the indication for antibiotic treatment itself, prescribers are reluctant to deescalate, and therapy duration is too long which results most often in overprescribing. The burden of overprescribing is difficult to estimate, but many studies in the hospital setting report a rate of approximately 30 % of inadequate prescribing – with wide variation. Over- but also underprescribing of antimicrobial agents is a serious patient safety issue that needs to be addressed in specific programmes at different levels of the healthcare system. Interventional studies have shown that programmes implementing or intensifying audit and feedback with clinical reevaluation by experts can be very efficient to reduce inadequate prescribing.

Schlüsselwörter

Antibiotikaanwendung - Antibiotic stewardship - Patientensicherheit

Key words

antibiotic prescribing - antimicrobial stewardship - patient safety

Publication History

Article published online:
17 November 2020

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