Universität Bielefeld

© Universität Bielefeld

Antimicrobial resistance and antibiotic stewardship

Antimicrobial resistance (AMR) is one of the greatest global health challenges of our time. As such, it has a high priority in German and global health policy. Increasing antibiotic prescribing and use in health care and agricultural is making more and more pathogens resistant to antibiotics. This resistance promotes the spread of various pathogens in the healthcare system, the general population and, ultimately, the environment as a whole.

Surveillance of these pathogens and hygiene measures to reduce their spread are already established approaches. On the other hand, the promotion of the rational use of antibiotics, usually described as "Antibiotic Stewardship" (ABS), is still being expanded. Our team is involved in an ABS research project in the field of outpatient medicine in Bielefeld and Ostwestfalen-Lippe. The focus is on antibiotic therapy for specific indications in various outpatient specialist groups (see project).

ABS is not only limited to the use of antibiotics in healthcare, however, but also deals with all other sectors of our economy and society where antibiotics are important. A comprehensive AMR strategy therefore requires a one-health perspective that encompasses different disciplines and sectors, taking into account local, national and international circumstances.

The focus of German and global efforts in the context of AMR and ABS are related to health care, research, health policy, economic and agricultural development, and population-based awareness and dialogue. Many of these efforts, however, remain more narrowly focused on “drugs and bugs”. However, the emergence and spread of AMR and the implementation of strategies, programmes and interventions to combat it effectively (including ABS) are strongly determined by people and their daily lives at home, at work and in communities. An better understanding of the complex interactions that lead to different risk profiles and health outcomes for different groups in the population – the causes of the causes –could increase the effectiveness and equitable impact of efforts to combat AMR.

In addition to the medical, microbiological and pharmacological aspects that are already the focus of attention, the AG 2 department is committed to examining health inequities, social determinants of health and gender considerations in the context of AMR through systematic and interdisciplinary research. In this way, we aim to contribute to the kind of radical, inclusive and cross-border (disciplinary, sectoral, national, etc.) collaboration needed to explore and effectively address this complex challenge.


News from the School of Public Health

News from AG 2

10 February 2020
Wie Wohlstand in Entwicklungsländern zur Krebsfalle wird”:
News story with contributions by Prof. Kayvan Bozorgmehr and colleagues.

Go to article (German only)

03 February 2020
New staff in the AG 2: Starting with February, we are glad to welcome Ms. Judith Wenner (MSc) as new staff member in our team.

15 January 2020
New staff in the AG 2: We are glad to welcome Mr. Diogo Costa (PhD) as new staff member in our team.

06 January 2020
New publication on ambulatory care sensitive hospitalisations among asylum seekers in Germany published in "BMJ Open":
Go to article

29 October 2019
New WHO publication by Prof. Bozorgmehr:
"What is the evidence on availability and integration of refugee and migrant health data in health information systems in the WHO European Region?"
Go to WHO report

18 September 2019
New WHO publication by Prof. Bozorgmehr and Prof. Razum (AG 3):
Negotiating Access to Health Care for Asylum Seekers in Germany"
Go to WHO report

12 August 2019
Niemand flieht aus Aleppo, um sich die Zähne machen zu lassen”:
News story with contributions by Prof. Kayvan Bozorgmehr and colleagues.
Go to article (German only)

05 August 2019
New paper in cooperation with the University Hospital Heidelberg published in "BMJ Global Health":
Go to article

15 July 2019
New paper from the RESPOND project published in "Emerging Themes in Epidemiology":
Go to article

05 July 2019
New DFG Research Group on Refugee Migration and Health Inequalities:
More (German only)

14 June 2019
New publication from the PRICARE project published in the Bundesgesundheitsblatt:
Go to article

28 May 2019
AG 2 attends a workshop of the RESPOND project in Heidelberg:
Medical care of asylum seekers in reception centers

27 May 2019
New WHO Compendium with the participation of Prof. Bozorgmehr
Go to the compendium

15 April 2019
New staff in the AG 2: Ms. Victoria Saint (MMedSc) and Mr. Amir Mohsenpour (medical doctor) have joined the team.

01 March 2019
Warm welcome:
In March, Prof. Dr. med. Kayvan Bozorgmehr takes over as head of the AG 2 department Population Medicine and Health Services Research


Directions and addresses