Zusammenfassung
Die Problematik der zunehmenden Resistenz mikrobieller Krankheitserreger erfordert die Implementierung entsprechender Antibiotika Stewardship-Programme. Im September 2006 begann in Belgien, Deutschland, Italien, Österreich, Polen, Slowenien, der Slowakei, Tschechien und in Ungarn das Projekt "ABS International – Implementing antibiotic strategies for appropriate use of antibiotics in hospitals in member states of the European Union". Ein Programm zur Einschulung nationaler ABS Trainer wurde umgesetzt und Mustervorlagen für ABS Hilfsmittel (Antibiotika-Listen, Therapierichtlinien, Richtlinien für perioperative Prophylaxe, AB-relevante Organisationsstrukturen) und Ablauforganisation wurden erstellt. Qualitätsindikatoren für die Bewertung des Antibiotikaeinsatzes wurden entwickelt. Diese spezifischen ABS Hilfsmittel werden pro Land in fünf Krankenhäusern implementiert. Während die Maßnahmen von ABS International ausschließlich auf Krankenhäuser abzielen, sollten künftige Antibiotika Stewardship-Programme auch den niedergelassenen Bereich sowie die Allgemeinbevölkerung ansprechen.
Summary
The increasing problem of antimicrobial resistance requires implementation of antibiotic stewardship (ABS) programs. The project "ABS International – Implementing antibiotic strategies for appropriate use of antibiotics in hospitals in member states of the European Union" was started in September 2006 in Austria, Belgium, the Czech Republic, Germany, Hungary, Italy, Poland, Slovenia and Slovakia. A training program for national ABS trainers was prepared and standard templates for ABS tools (antibiotic list, guides for antibiotic treatment and surgical prophylaxis, antibiotic-related organization) and valid process measures, as well as quality indicators for antibiotic use were developed. Specific ABS tools are being implemented in up to five healthcare facilities in each country. Although ABS International clearly focuses on healthcare institutions, future antimicrobial stewardship programs must also cover public education and antibiotic prescribing in primary care.
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Allerberger, F., Frank, A. & Gareis, R. Antibiotic Stewardship through the EU Project "ABS International". Wien Klin Wochenschr 120, 256–263 (2008). https://doi.org/10.1007/s00508-008-0966-9
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DOI: https://doi.org/10.1007/s00508-008-0966-9