Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz最新文献

{"title":"[Development of the epidemiology of antibiotic-resistant pathogens in human medicine and their significance for the health system in Germany].","authors":"Tim Eckmanns, Felix Reichert, Marc Schneider, Marcel Feig, Ines Noll, Alexandra Hoffmann","doi":"10.1007/s00103-026-04234-6","DOIUrl":"10.1007/s00103-026-04234-6","url":null,"abstract":"<p><p>The World Health Organization (WHO) has ranked antibiotic resistance as one of the 10 biggest global threats, leading to significant morbidity, mortality, and economic burden. In Germany the developing resistance situation is critical. The resistance data of the most relevant drug-bug combinations are calculated with data from the German Antibiotic Resistance Surveillance (ARS) system. For four of these drug-bug combinations, incidence reduction targets for 2030 (bloodstream infections per 100,000 inhabitants) have been outlined in the German Antimicrobial Resistance Strategy (DART 2030) action plan. The incidence for the gram-positive vancomycin-resistant Enterococcus (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) are currently within the target range. However, this is not the case for Escherichia coli with resistance to third generation Cephalosporins and Carbapenem-resistant Klebsiella pneumoniae, both of which are increasing in incidence. In an EU comparison, the incidence of AMR in Germany ranks in the middle.In addition to the resistance data and incidence, the Measuring Infectious Causes and Resistance Outcomes for Burden Estimation (MICROBE) project presents the absolute numbers of mortalities from infections with antimicrobial-resistant pathogens. In Germany, 40,000 deaths per year are associated with antibiotic-resistant infections, and in almost 10,000 of these cases the death was attributable to the antibiotic-resistant pathogen. This means that more people in Germany are dying from antibiotic-resistant infections than other infectious diseases.The effects on the healthcare system are substantial; the increasing antibiotic resistance in particular leads to greater burden of disease in haemato-oncological diseases and poses challenges to effective perioperative antibiotic prophylaxis.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"546-555"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Science and practice in public health services: experiences from Saxony-Anhalt and perspectives for sustainable public health services].","authors":"Doreen Wolff, Christian Apfelbacher, Robert Pohl, Enno Swart, Melina Niering","doi":"10.1007/s00103-026-04242-6","DOIUrl":"https://doi.org/10.1007/s00103-026-04242-6","url":null,"abstract":"<p><p>Against the backdrop of the Pact for the Public Health Service (Pakt für den Öffentlichen Gesundheitsdienst; Pakt ÖGD), the commitment to evidence-informed practice is increasingly shaping the strategic development of Germany's Public Health Service (ÖGD). Particularly at the municipal and federal state levels, closer collaboration between research and public health practice is needed. In Saxony-Anhalt, a cooperation agreement was concluded in 2024 between the City of Magdeburg and Magdeburg University Medicine (UMMD) to institutionally strengthen their existing collaboration. In the same year, a project agreement involving additional public health stakeholders was established to create a sustainable framework for systematic exchange between academia and public health administration.This article presents ongoing collaborative initiatives in Saxony-Anhalt, including projects on the analysis of school entry examinations, in-depth evaluations of Early Childhood Intervention Services (Frühe Hilfen), e‑mental health interventions for children and adolescents, and the public health response to Mpox. These examples illustrate how regional cooperation between academia and practice can be operationalized and highlight the opportunities such collaborations offer for the continued development of the Public Health Service. In addition, knowledge translation formats such as regular coordination meetings, scientific events, and practice-oriented training play a key role in facilitating the transfer of evidence into public health practice.The experiences from Saxony-Anhalt are consistent with the recommendations of the Advisory Board of the Pakt ÖGD, which has called, among other measures, for the establishment of teaching and research public health offices, bridge professorships, and sustainable funding structures. The examples of collaboration demonstrate that the future-oriented development of the Public Health Service requires both local innovation and supra-regional structures that systematically connect science and practice.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Exposure inquiries related to preparations containing plant-based ingredients in Germany: analysis of inquiries (2013-2022) at the Joint Poison Information Center in Erfurt].","authors":"Sebastian Wendt, Daniel Linden, Dagmar Prasa, Heike Franke","doi":"10.1007/s00103-026-04237-3","DOIUrl":"https://doi.org/10.1007/s00103-026-04237-3","url":null,"abstract":"<p><strong>Background: </strong>Preparations containing plant-derived components, such as those found in herbal medicinal products, medical devices, dietary supplements, and cosmetics, are readily accessible and may lead to adverse effects or poisoning if used incorrectly. Poison information centers (PICs) respond to exposure-related inquiries. The aim of this study was to analyze exposure inquiries concerning preparations with plant-derived components at the Joint Poison Information Center in Erfurt (GGIZ) in order to identify preventive approaches.</p><p><strong>Methods: </strong>A statistical analysis of exposure inquiries received by the GGIZ from 2013 to 2022 was conducted. Data from nine federal states were included. Only inquiries related to single preparations that had been reported at least 10 times were considered. Symptom severity was assessed using the poisoning severity score (PSS), and poisoning risk was calculated using a modified Litovitz risk factor.</p><p><strong>Results: </strong>A total of 36 preparations with 2512 exposures (mean 251.2/year; trend τ = 0.8667, p = 0.0007) were identified. Of those affected, 60.2% (1511) were toddlers. Most exposures (98.5%, 2474) occurred in the home environment. In 64.5% (1620) of cases, exposures were unintentional. Oral exposure accounted for 93.4% (2345) of cases. Of the exposures with known outcomes, 75.3% (1780/2365) remained asymptomatic, 23.5% (556/2365) resulted in minor/mild symptoms, 1% (24) in moderate symptoms, and 0.2% (5) in severe symptoms. Severe intoxications were associated with Colchysat® Bürger and Klosterfrau® Melissengeist concentrate.</p><p><strong>Discussion: </strong>Toddlers represent a relevant risk group in the use of preparations containing plant-derived components. Preparations containing colchicine or ethanol may lead to fatal intoxications, particularly in cases of intentional exposure. It is recommended to store oral and topical preparations separately and out of reach of unauthorized persons, and to provide comprehensive education.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[State-sponsored doping in GDR elite sport: health consequences, reappraisal, and questions of legal compensation].","authors":"Carsten Spitzer, Burkhard Bley","doi":"10.1007/s00103-026-04238-2","DOIUrl":"https://doi.org/10.1007/s00103-026-04238-2","url":null,"abstract":"<p><p>Against the backdrop of the ideological rivalry between communism and capitalism, sport in the GDR was exploited for political ends. This was evident, among other things, in a state-directed, controlled, hierarchically organized and, in parts, totalitarian competitive sports system. A key component was a conspiratorial, state-controlled program of compulsory doping, which was systematically implemented from the 1970s onwards and affected an estimated 15,000 underage athletes. Performance-enhancing substances, primarily anabolic-androgenic steroids, were administered covertly, without the knowledge, information, or consent of those affected, often before puberty and despite known health risks. In addition to the effects of the doping substances, which enabled training loads beyond physiological limits, there was discipline, pressure to perform, surveillance, isolation, and abuse by sports officials. The resulting impairments to biopsychosocial development are still evident today in the form of serious health damage. Alongside disruptions to hormonal regulatory systems, growth and organ damage, cardiovascular diseases, tumors and degenerative diseases of the musculoskeletal system, and mental disorders with a lifetime prevalence of up to 98% are of particular concern, especially depressive, phobic, and somatoform pain disorders. Despite the laws providing assistance to victims of doping, the political and legal management of this particular injustice perpetrated by the SED remains unsatisfactory. Furthermore, society rarely acknowledges the violation of the human rights of former competitive athletes in the GDR who were forcibly doped as minors and continue to suffer from severe physical and psychosocial consequences to this day.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147763392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Framework conditions for informed decision-making and interdisciplinary collaboration in abortion care-perspectives of counselling professionals].","authors":"Maika Böhm, Judit Baer, Eva Kubitza, Petra Brzank, Ulrike Busch, Daphne Hahn, Cornelia Helfferich, Christine Knaevelsrud, Tilman Knittel, Silvia Krumm, Sarah Schumacher","doi":"10.1007/s00103-026-04209-7","DOIUrl":"10.1007/s00103-026-04209-7","url":null,"abstract":"<p><strong>Background: </strong>Informed and self-determined decisions are a central element of human-rights-compliant abortion care. This article examines the framework conditions for informed, self-determined decisions and interdisciplinary cooperation from the perspectives of counsellors from pregnancy counselling centres in Germany. The data are based on a qualitative study conducted as part of a sub-project on psychosocial care within the joint project \"Experiences and life situations of women with unwanted pregnancies-counselling and care services\".</p><p><strong>Methods: </strong>In the fourth quarter of 2022, six guided focus group interviews were conducted with 25 professionals at four locations and analysed using content-structuring analysis.</p><p><strong>Results: </strong>Informed decisions are understood as a relational process that offers guidance beyond the transfer of knowledge. Information barriers, a lack of language mediation and social inequalities complicate the process, especially for migrants and people facing multiple challenges. Interdisciplinary collaboration reveals asymmetries between psychosocial and medical care. Collaborations are often dependent on individuals, structurally insecure and in need of improvement.</p><p><strong>Discussion: </strong>Informed and self-determined decisions can be supported by improved interdisciplinary networking, accessible and reliable information services, and institutionalised language mediation. The reduction of structural inequalities and the normalisation of abortion are described as central issues, and the criminal law framework and compulsory counselling are reflected upon critically in some cases. Pregnancy counselling centres play a key role in this process.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"417-425"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147302583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Menstruation on YouTube, Instagram, and TikTok: a content and quality analysis].","authors":"Nicola Döring, Anastasiia Shevtsova, Claudia Schumann-Doermer","doi":"10.1007/s00103-026-04213-x","DOIUrl":"10.1007/s00103-026-04213-x","url":null,"abstract":"<p><strong>Background: </strong>Young people and adults are increasingly searching for information about menstruation on social media. Against this background, the present study aimed, for the first time, to examine the content and quality of German-language menstruation videos on YouTube, Instagram, and TikTok. The study addresses research questions (RQ) on content provider types (RQ1), content (RQ2), and the quality of menstruation videos (RQ3) as well as audience reactions (RQ4).</p><p><strong>Methods: </strong>In 2024, a sample of N = 500 popular menstruation videos was drawn from YouTube (150), Instagram (150), and TikTok (200). For each video, up to 20 of the most liked topic-related audience comments were included (N = 6314). Videos and comments were analyzed using reliability-tested codebooks. Data analysis was performed with R. The study is preregistered, and all data, materials, and analysis scripts are publicly available.</p><p><strong>Results: </strong>The included menstruation videos predominantly originated from laypersons (42%) and less frequently from healthcare professionals (17%; RQ1). The portrayal of menstruation was mostly neutral (52%); negative (15%) or positive (13%) depictions were less frequent. Content-wise, the videos primarily addressed the experience of menstruation (e.g., pain) and practical management of bleeding (e.g., menstrual products; RQ2). According to quality criteria for evidence-based health information, substantial deficits were observed (RQ3). Comment sections were used by viewers to share personal experiences and to ask questions (RQ4).</p><p><strong>Discussion: </strong>Future research and practical measures are necessary to further assess and improve the quality of social media videos about menstruation.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"473-482"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Decline in the use of hormonal contraceptives among women: genesis of critical attitudes in reproductive biographies : Results from the study \"women's lives 4 - family planning throughout life\"].","authors":"Sabrina Mannebach, Laura Olejniczak, Sonja Glaser, Tilmann Knittel","doi":"10.1007/s00103-026-04211-z","DOIUrl":"10.1007/s00103-026-04211-z","url":null,"abstract":"<p><strong>Background: </strong>The use of the pill, the most widely used hormonal contraceptive, has been declining in Germany for several years. The aim of the study is to present current trends in pill use differentiated by age and to gain a more detailed understanding of the development of critical attitudes towards the pill and hormonal contraceptives in general from a biographical perspective.</p><p><strong>Methods: </strong>Data were analysed on the use and evaluation of the pill from the mixed-methods study \"women's lives 4\" involving 5579 women with contraceptive needs. The results were compared with data from the previous 2012 study. In addition, 20 qualitative interviews on critical attitudes towards hormonal contraceptives were evaluated using content analysis and hermeneutic reconstruction.</p><p><strong>Results: </strong>Pill use declined from 45.7% in 2012 to 25.3% in 2024. Critical attitudes are more prevalent among younger respondents. Their development is facilitated by insufficient information-based decision-making options, especially at the beginning of the contraceptive biography, which limits agency and self-determination. The distancing from hormonal contraception takes place as a reflexive process. There is a close connection between critical attitudes towards hormonal contraceptives and their non-use.</p><p><strong>Discussion: </strong>The decline in pill use is consistent with the findings of other studies. The interviews reveal insufficiently met information needs regarding hormonal contraception and the resulting limitations on self-determination in contraceptive decisions. This underscores the importance of needs-based education and counselling for self-determined reproductive behaviour.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"400-409"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147363917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Experiences of sexual violence, bystander perspectives, and disclosure among young people-results of the 10th wave of the representative survey \"Youth Sexuality\"].","authors":"Luise Dinger, Alina Schäfer-Pels, Sara Scharmanski","doi":"10.1007/s00103-026-04212-y","DOIUrl":"10.1007/s00103-026-04212-y","url":null,"abstract":"<p><strong>Background: </strong>Since 1998, the Federal Institute for Public Health (BIÖG, formerly Federal Centre for Health Education, BZgA) has gathered data on young people's experiences of sexual violence through the representative \"Youth Sexuality\" survey. The survey has been regularly updated and refined. Drawing on initial descriptive findings, the key results of the 10th wave are presented. These cover the prevalence of direct (hands-on) and indirect (hands-off) experience of sexual violence, information about perpetrators, the role of bystanders, and the process of disclosure.</p><p><strong>Methods: </strong>In the first half of 2025, computer-assisted personal interviews (CAPI) were conducted with a sample (N = 5855) of adolescents (14-17 years) and young adults (18-25 years). The latest wave of the representative survey included questions on bystanders and the disclosure process.</p><p><strong>Results: </strong>The results reveal a high prevalence of both direct and indirect sexual violence during adolescence. Peers play a key role-as perpetrators, as bystanders, and in the disclosure process.</p><p><strong>Discussion: </strong>The study supports national and international evidence that adolescence is a period of heightened risk for sexual (peer) violence. It highlights the crucial role of bystanders-both during and after sexual violence-suggesting that intervention and prevention efforts should also target bystanders.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"434-443"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147526973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stoffmonographie für Homosalat (Homomenthylsalicylat, HMS) – HBM-​Werte für die Metaboliten tHMS-CA und HMS-CA5 im Urin von Erwachsenen und Kindern : Stellungnahme der Kommission „Human-Biomonitoring“ des Umweltbundesamtes.","authors":"","doi":"10.1007/s00103-026-04205-x","DOIUrl":"https://doi.org/10.1007/s00103-026-04205-x","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"69 4","pages":"494-507"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Parenthood after sexual violence in childhood and adolescence-decision-making, pregnancy, childbirth, and parenting].","authors":"Barbara Kavemann, Bianca Nagel","doi":"10.1007/s00103-026-04204-y","DOIUrl":"10.1007/s00103-026-04204-y","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual violence in childhood and adolescence can have a wide-ranging impact. The health consequences have been well researched, and the potential social consequences are also widely known. When dealing with their own parenting, victims/survivors are confronted with specific problems in addition to the issues and questions that can be challenging for all parents. A research project explored what it means to have children and take on parental responsibility after experiencing sexual violence in childhood, focusing on the subjective perspective of those affected.</p><p><strong>Methods: </strong>In a mixed methods study (August 2022 to October 2024), adults with and without children who had experienced sexual violence in childhood and adolescence were surveyed using questionnaires and problem-centred interviews. In total, 619 questionnaires were evaluated descriptively; 12 interviews and open-ended responses from the questionnaires were analysed using qualitative content analysis.</p><p><strong>Results: </strong>For 36% of respondents, the decision for or against parenthood was related to their own experiences. The topics of stress and fears were central, but positive experiences were also reported. Further results relate to romantic relationships and sexuality as well as pregnancy and childbirth, physical and emotional closeness to children, and sex education for children.</p><p><strong>Discussion: </strong>The experiences of sexual violence are strongly linked to questions of parenthood and can affect parental skills. On this basis, recommendations are developed for counselling, pregnancy support and obstetrics. Specific services are needed that address affected parents without stigmatisation.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"426-433"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}