Frankfurt am Main - Doctors in private practice in Germany prescribed systemic antibiotic around 31 million times last year. Around quarter of these prescriptions (7.8 million) were directed against acute upper respiratory infections. This also includes tonsillitis, throat and sinus infections, as the statistics service provider reported today.
According to this, further 13 percent of antibiotic prescriptions are due to diseases of the urinary system, which also include inflammation of the urinary bladder and urethra. All acute infections of the lower respiratory tract such as bronchitis or bronchiolitis account for further 13 percent of the prescriptions. Chronic diseases of the lower respiratory tract such as COPD accounted for nine percent of the prescriptions of systemic, anti-infective preparations.
Prescribe general practitioners Antibiotics
At the level of the ICD-10, level three, the five most frequent diagnoses according to the statistics company were: acute bronchitis with 3.8 percent of all prescriptions of systemic antibiotics, other diseases of the urinary system with 3.0 Percent, acute tonsillitis with 2.7 percent, acute infection in multiple locations of the upper respiratory tract with 2.2 percent and non-acute / non-chronic bronchitis with 1.8 percent.
According to IQVIA, systemic antibiotics are around 74 percent prescribed by family doctors, practitioners and internists, followed by paediatricians (ten percent) and ear, nose and throat doctors (seven percent).
Deutsches Ärzteblatt print
Doctors and health insurance companies have long been on written the flags to sensitize doctors and patients to the adequate use of antibiotics. This is what the Association of Substitute Funds (vdek) and the National Association of Statutory Health Insurance Physicians (KBV) want to achieve with the "" (RESIST) project developed as part of the innovation fund.
The project focuses on education and on medical Patient communication. Attila Altiner, Director of the Institute for General Medicine at the Rostock University Medical Center, pointed to misunderstandings in doctor-patient communication. The expectation of patients to be prescribed an antibiotic is often overestimated by doctors. These misunderstandings could be cleared up through joint decision-making, he emphasized.
AOK Saxony-Anhalt and IKK healthy plus are taking different approach with the support of the Association of Statutory Health Insurance Physicians (KV) Saxony-Anhalt and the State Medical Association of the family doctor contract there. The health insurers pay for the rapid test for C-reactive protein (CRP) separately. The aim is to improve the diagnosis for the prescription of antibiotics. According to the KV, the services of the contract include advice, the test itself and the evaluation.