Nekarda Patrick, Schulze Christina, Katsounas Antonios
Anasthesiol Intensivmed Notfallmed Schmerzther. 2022 Apr;57(4):292-301. doi: 10.1055/a-1305-1527. Epub 2022 Apr 21.
The current S3 guideline entitled "Strategies to warrant rational in-hospital use of antibiotics" summarizes evidence-based antibiotic stewardship (ABS) measures that aim to improve clinical outcomes and prevent development and spread of microbial resistance in German hospitals. Most important prerequisite for efficiency and safety of ABS programs is sufficient staffing capacity as well as reliably operating surveillance of (i) pathogens, (ii) antimicrobial resistance and (iii) consumption of antimicrobials. ABS teams require authorization by hospital institutions as units exclusively responsible for antimicrobial audits and implementation of anti-infective interventions. Clinicians should be regularly granted access to in-hospital training programs delivered by ABS experts. Finally yet importantly, the current S3 guideline also highlights future goals, e.g., the structured involvement for nurses in ABS-guided infection management or the promotion of ABS programs in the outpatient sector and in veterinary medicine.
当前的S3指南题为“确保医院合理使用抗生素的策略”，总结了基于证据的抗生素管理（ABS）措施，旨在改善临床结果，并防止德国医院微生物耐药性的产生和传播。ABS项目高效与安全的最重要前提是有足够的人员配置，以及对（i）病原体、（ii）抗菌药物耐药性和（iii）抗菌药物使用情况进行可靠的监测。ABS团队需要得到医院机构的授权，作为专门负责抗菌药物审核和抗感染干预措施实施的单位。临床医生应定期获得参加由ABS专家提供的院内培训项目的机会。最后但同样重要的是，当前的S3指南还强调了未来的目标，例如，让护士有组织地参与ABS指导的感染管理，或在门诊部门和兽医学中推广ABS项目。
