Tauchnitz C, Handrick W
Inneren Abteilung, Ev.-Luth. Diakonissenhauses Leipzig.
Z Gesamte Inn Med. 1988 Dec 15;43(24):713-4.
W. Siegenthaler's and G. Siegenthaler-Zuber's opinion, according to which in the majority of infections in practice an etiological (microbiological) diagnosis may be renounced and the guiding slogan "before therapy the gods have placed the diagnosis" should be relativized for the situation in the practice in contrast to the situation in the clinic, is opposed. Microbiological findings represent an unrenouncable basis for a rational antimicrobial chemotherapy in practice and clinic. In the individual case this does not exclude a calculated chemotherapy on account of a clinical and microbiological tentative diagnosis made by the physician in charge. But at the latest when the empiric therapy fails an efficient microbiologic diagnostics must be at our disposal.
W. 西根塔勒和G. 西根塔勒 - 祖伯的观点认为，在实际情况中，对于大多数感染病例，可以放弃病因学（微生物学）诊断，并且与临床情况相比，“治疗前上帝已做出诊断”这一指导性口号应根据实际情况进行修正，这种观点遭到反对。微生物学检查结果是在实际临床中进行合理抗菌化疗不可或缺的依据。在个别情况下，这并不排除根据主治医生做出的临床和微生物学初步诊断进行有计划的化疗。但最迟在经验性治疗失败时，必须有有效的微生物学诊断方法可供使用。
