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Perioperative Antibiotikaprophylaxe

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Weiterbildung Anästhesiologie

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Zusammenfassung

In Zeiten der zunehmenden Resistenzentwicklung von Bakterien gegenüber antimikrobiellen Substanzen sollte ein großzügiger und potenziell unreflektierter Einsatz von Antibiotika, ins-besondere im Bereich der Humanmedizin, sehr kritisch betrachtet werden. Die perioperative Antibiotikaprophylaxe (PAP) steht im Fokus dieses Konflikts, denn sie soll einerseits präemptiv Komplikationsraten durch Keimreduktion leisten; andererseits steht sie im Verdacht, die Selektion resistenter Keime zu fördern, die den Boden für nosokomiale Infektionen bereiten. Im vorliegenden Weiterbildungsbeitrag erfolgt eine kritische Auseinandersetzung mit diesem Thema; hierbei dienen die aktuelle S1-Leitlinie des Arbeitskreises „Krankenhaus- und Praxishygiene“ (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, AWMF) 2012 und die Empfehlungen der Paul-Ehrlich-Gesellschaft 2010 als Grundlagen.

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Authors and Affiliations

  1. Zentrum für Anästhesiologie und Intensivmedizin, Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg

    F. Reutter, D.A. Reuter, A.M. Heilek, M.S. Goepfert & M.A. Punke

  2. Apotheke, Universitätsklinikum Hamburg-Eppendorf, Hamburg

    H. Hilgarth

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  1. F. Reutter
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  2. D.A. Reuter
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  3. H. Hilgarth
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  4. A.M. Heilek
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  5. M.S. Goepfert
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  6. M.A. Punke
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Reutter, F., Reuter, D., Hilgarth, H., Heilek, A., Goepfert, M., Punke, M. (2015). Perioperative Antibiotikaprophylaxe. In: Weiterbildung Anästhesiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46515-8_7

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  • DOI: https://doi.org/10.1007/978-3-662-46515-8_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46514-1

  • Online ISBN: 978-3-662-46515-8

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