Antibiotic-resistant pathogens pose a major threat to the health of all people. Excessive antibiotic use promotes the development of resistance. That's why physicians from the Berlin Charité and six partners started an awareness campaign to raise awareness of antimicrobial resistance. In 2015, they initiated the model project "Rational Use of Antibiotics through Information and Communication"( RAI).The scientists published a press release explaining the goals and intentions of the campaign.
Careless use of antibiotics has fatal consequences
Charité is responsible for RAI.Petra Gastmeier. The physician is the director of the Institute for Hygiene and Environmental Medicine. The expert reports that the consequences of ill-considered use of antibiotics are fatal. In Europe and the US alone, about 50,000 patients die each year from infections with antibiotic-resistant pathogens. And it is particularly alarming that the trend continues to increase. For the correct handling of antibiotics, according to the expert, education is needed. Many people are only incompletely informed about the problem. These gaps must be closed urgently, says Prof. Gastmeier.
education not only affects physicians, but also farmers, veterinarians and patients
Human and animal health professionals have now joined forces with design and communications experts to develop innovative information and communication strategies that enable the responsible use of antibiotics. RAI pursues a cross-sectoral approach, explains Prof. Dr. med. Lothar H. Wieler, President of the Robert Koch Institute( RKI) and one of the partners involved. One of the biggest failures in the past was that the initiatives were always limited to one particular grouping, says the RKI president. The omission now needs to catch up urgently, adds Prof. Wieler.
The project follows the so-called holistic, interdisciplinary One Health concept. This concept should take into account the complex relationships between humans, animals, the environment and health. Such an integrative approach is currently considered the key to sustainable health management, say the authors. Therefore, the RAI experts are not only targeting family doctors, surgeons and intensive care physicians in hospitals who are responsible for prescribing antibiotics there. It also addresses veterinarians, farmers and patients in GP practices.
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Obstacles and uncertainties in dealing with antibiotics
The first phase of the project focused on the analysis of an actual condition in the target group and on the development of suitable intervention tools, explain the physicians. These should then be tested in the second phase. The results of the first phase of the important project showed that nearly sixty percent of the over 1000 adults surveyed believed that their personal behavior when using antibiotics had no effect on the development of resistance, the authors explain. In fact, the improper intake of antibiotics actually promotes the emergence of resistant bacteria.
Even among the interviewed veterinarians falsely thinks almost every second that its prescription behavior does not affect the resistance situation in his region, add the doctors. The study also found some practical obstacles and uncertainties in the proper use of antibiotics. These include, for example, lack of time and information lost in communication between the prescribing physicians and the users.
intervention tools will improve education
Specially developed intervention tools, such as the so-called Info Recipe Generator, are designed to provide better support to general practitioners in the future. The doctor can hereby put together personalized information about their clinical picture for their patients. He can also add information about antibiotic therapy, the experts explain. A podcast will help inform veterinarians about antibiotics and resistant pathogens in a time-efficient and location-independent way. The aim is to show the doctors alternatives to treatment with antibiotics. The measures will be staggered by the RAI partners starting in August, introduced step by step and tested in practical use. The first results are expected in 2018, the authors add.(as)
antibiotics are indispensable in medicine today. The drug is used to treat bacterial infections, whether at the family doctor or in the intensive care unit in the hospital. But our main weapon to combat bacterial infections is losing more and more effectiveness. Here, there is an urgent need to improve people's awareness of antimicrobial resistance.