Antibiotic resistance is threatened by destroying one hundred years of medical advancement, WHO warned recently in Geneva. At the request of MDR AKTUELL, the Federal Bureau of Medicines and Medical Products reported that in Germany up to 15,000 deaths per year could be attributed to resistance to antibiotics. At least one third of that could be avoided.
According to Federal Institute data, international studies show that antibiotics are prescribed in inappropriate dosage or duration of therapy in up to 50 percent of cases. This improper prescribing and use of medicines is a major cause of increased resistance to antibiotics.
New Classification of the World Health Organization
The World Health Organization therefore divided antibiotics into three categories. In the first case, there are agents that act specifically against certain infections, so there are no so-called broadband antibiotics. The latter can be found especially in the second and third category. They should be applied only in exceptional or urgent cases. Because they act against many pathogens, they also cause the greatest resistance. In addition, they usually have more side effects.
Friedrich München, deputy director of the Saxony hospital society, said that in many hospitals of the Free State the guidelines of the World Health Organization have already been implemented. This means that the consumption of antibiotics is continuously recorded and the resistance is assessed.
You are looking at what antibiotics are used for the disease, and then you are trying to act as target-oriented and as economically as possible.
Doctors are too generous with antibiotics
However, the Federal Department of Medicine and Medical Products data show that many physicians do not respect the principle. Especially in pediatricians and family doctors some are generous when prescribing antibiotics, says Munich. However, this often has to do with patient expectations.
Since it is expected that complaints will be quickly closed, then only the doctors will try to prescribe antibiotics, even if it is not necessarily medically necessary.
The initiative praises the WHO push
Thomas Mayer, president of the "Uncompromising Doctors of the MEZIS", considers the new categorization of drugs by the WHO as a good idea. Anything can change, the second question. If a broad antibiotic is used immediately, there is a likelihood that this will work for the patient, and the doctor will rest. That does not mean that all doctors think so. But basically, it's easier to use antibiotics that can fight against everything than to risk.
This procedure usually does not harm a particular patient, explains Mayer. However, this leads to greater resistance to antibiotics in society as a whole.