What are antibiotics aimed at

DART 2020 - German Antibiotic Resistance Strategy

In 2015, the Federal Ministry of Health worked together with the Federal Ministries of Food and Agriculture as well as Education and Research to develop the German antibiotic resistance strategy "DART 2020". It was passed by the Federal Cabinet in May 2015.

DART 2020 bundles measures that are necessary to reduce antibiotic resistance. The focus is on cross-sectoral cooperation (one health approach). In order to do justice to this one health approach, all goals of DART 2020 address human and veterinary medicine equally. The goals of DART 2020 in detail:

Goal 1: Strengthen the one-health approach

The health of humans and animals must be viewed holistically. The containment of the development and spread of antibiotic resistance can only be carried out across sectors. This requires close cooperation between all those involved and between the responsible federal ministries and their higher federal authorities. Due to the globalized trade in animals and plants as well as the increased travel activities, close coordination with international partners is necessary not only in the EU, but worldwide. The implementation of the WHO Global Plan of Action, which emphasizes the one health approach, is a prerequisite for this.

Goal 2: Detect resistance developments at an early stage

In order to continuously adapt therapy and hygiene recommendations to the current situation and to be able to develop targeted prevention strategies, representative data on the occurrence of new pathogens and resistances are required. Such data help, among other things, that doctors can adapt their own prescribing behavior. The development of the resistance rates over time provides information on the effectiveness of control measures.

Goal 3: Maintain and improve therapy options

In order to be able to maintain the effectiveness of antibiotics in the long term, a proper use of antibiotics is necessary. In Germany, the use of antibiotics varies greatly from region to region, and there are many reasons for this. In order to be able to understand this better, data on the quantities of antibiotics given or used are required. These data also form the basis for targeted intervention measures and support the assessment of their effectiveness.

Goal 4: Interrupt chains of infection at an early stage and avoid infections

Avoiding infection is the most important measure to reduce antibiotic consumption. Compliance with hygiene measures by qualified medical staff in the hospital and by knowledgeable animal owners is crucial. Timely diagnostics are also important in order to be able to use antibiotics more precisely and to prevent the spread of resistant pathogens. Regional networks for the prevention and control of resistant infectious agents can help to identify and eliminate local application obstacles and implementation problems.

Goal 5: Promote awareness and strengthen skills

Appropriate knowledge is a prerequisite for the proper use of antibiotics and the correct handling of multi-resistant pathogens. There is a great need for information and gaps in knowledge that have to be eliminated, both in the general public and in medical and veterinary circles as well as among animal owners.

Goal 6: Support research and development

Research makes an important contribution to obtaining the necessary data. The aim of DART 2020 is therefore to strengthen all relevant research areas in human and veterinary medicine - from basic research to clinical research and research on public health issues to research in cooperation with the health, agriculture and food industries. In addition to a better understanding of the development and spread of resistance, there is a great need for new active ingredients. Research into the development of anti-infectives is being strengthened in national and international coordinated initiatives.

In July 2019, a fourth interim report on the status of the implementation of DART 2020 was published.