Dr Attila Altiner (Germany)

Currently around 45% of all encounters between a patient with a RTI and a physician result in an antibiotic prescription. Although this is a 10% reduction in antibiotic prescribing compared to previous years, the prescription of broadspectrum antibiotics remains far too high.

The German National Action Plan is called the Deutsche Antibiotika Resistenzstrategie (DART) initiative and continues to gain momentum. As an example, Dr Altiner explained they are currently in the middle of one of the largest educational programmes for physicians in ambulatory care. This involves more than 2,500 practices and covers almost half of Germany. In addition, over 2,500 practices recently completed an online educational programme that focused on doctorpatient communication.

Another program gaining momentum is the discussion on health literacy. Dr Altiner reflected that changes in prescribing behaviours are not entirely due to improvements in HCP education, but also due to a generation shift in GPs in Germany that results in a different prescription style and a change in patient demands.

Dr Altiner concluded by reflecting that one of the big challenges in Germany is the difficulty in obtaining timely prescribing data. Ideally prescribers should be provided with almost immediate prescription feedback, however there remain many barriers to achieving this in Germany.

The German national plan to reduce antibiotic or to improve antibiotic use is gaining momentum. We’ve never seen as many projects on antibiotic use and prescribing as today

Dr Attila Altiner