[How to proceed in the age of increasing antibiotic resistance?]

The authors examined the infection control activity, the quality of basic health care of 6906 patients in 44 praxis. The mass of accomplished treatments was compared with the virtual mass of desirable treatments according to up-to-date considerations. The presumptive purposivity and expectable efficiency of the realised treatments didn't satisfy the justly expected professional claims. The decrease in quality was basically due to the cognitive dissonance (deficiencies of cognition and/or erroneous adoptation of theoretical and practical knowledge) of physicians. The unnecessarily prescribed (polypragmatic) and simultaneously purposeless broad spectrum of antibiotic treatments ran to two-third of the total--mainly in the cases or viral and beta-hemolytic Streptococcal infections; the number of antibacterial treatments was three times more than needed. Better compromise could be reached by the introduction of quality control in the field of infection treatments in the basic health care system. Spreading of the antibiotic resistance cannot be prevented without of quality assurance in the field of infection control and without the wide use of a more reasonable kind of treatment practice.