Fätkenheuer G, Jung N, Kern W V, Fölsch U R, Salzberger B
Klinik I für Innere Medizin, Universitätsklinikum Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Abteilung Infektiologie, Klinik für Innere Medizin II, Klinikum und Medizinische Fakultät, Universität Freiburg, Freiburg, Deutschland.
Internist (Berl). 2018 Apr;59(4):334-340. doi: 10.1007/s00108-018-0387-4.
Infectious diseases have recently gained wide public interest. Emerging infections and rising rates of antibiotic resistance are determining this trend. Both challenges will need to be addressed in international and local collaborations between different specialties in medicine and basic science. Infectious diseases as a clinical specialty in this scenario is directly responsible for the care of patients with infectious diseases. Its involvement in the care of patients with complicated infections has proved to be highly effective. Antibiotic stewardship programmes are effective measures in slowing the development of antibiotic resistance and have been widely implemented. But antibiotic stewardship specialists should not be confused with or taken as an alternative to infectious disease experts. Infectious diseases requires appropriate and specific training. It mainly uses the instrumentarium of internal medicine. With the current challenges in modern medicine, infectious diseases in Germany should thus be upgraded from a subspecialty to a clinical specialty, ideally within Internal Medicine.
传染病最近引起了公众的广泛关注。新发感染和抗生素耐药率的上升决定了这一趋势。在医学和基础科学的不同专业之间的国际和本地合作中,这两个挑战都需要得到解决。在这种情况下,传染病作为一个临床专业直接负责传染病患者的护理。事实证明,其参与复杂感染患者的护理非常有效。抗生素管理计划是减缓抗生素耐药性发展的有效措施,并且已经得到广泛实施。但是,抗生素管理专家不应与传染病专家混淆,也不能替代传染病专家。传染病需要适当和特定的培训。它主要使用内科的诊疗手段。鉴于现代医学当前面临的挑战,德国的传染病应因此从一个亚专业提升为一个临床专业,理想情况下应归入内科。