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Repeated nationwide point-prevalence surveys of antimicrobial use in Swedish hospitals : Data for actions 2003-2010

Skoog, Gunilla; Struwe, J.; Cars, O.; Hanberger, H.; Odenholt, I. LU ; Prag, M.; Skärlund, K.; Ulleryd, P. and Erntell, M. (2016) In Eurosurveillance 21(25).
Abstract

This study sought to analyse antimicrobial pressure, indications for treatment, and compliance with treatment recommendations and to identify possible problem areas where inappropriate use could be improved through interventions by the network of the local Swedish Strategic Programme Against Antibiotic Resistance (Strama) groups. Five point-prevalence surveys were performed in between 49 and 72 participating hospitals from 2003 to 2010. Treatments were recorded for 19 predefined diagnosis groups and whether they were for community-acquired infection, hospital-acquired infection, or prophylaxis. Approximately one-third of inpatients were treated with antimicrobials. Compliance with guidelines for treatment of community-acquired pneumonia... (More)

This study sought to analyse antimicrobial pressure, indications for treatment, and compliance with treatment recommendations and to identify possible problem areas where inappropriate use could be improved through interventions by the network of the local Swedish Strategic Programme Against Antibiotic Resistance (Strama) groups. Five point-prevalence surveys were performed in between 49 and 72 participating hospitals from 2003 to 2010. Treatments were recorded for 19 predefined diagnosis groups and whether they were for community-acquired infection, hospital-acquired infection, or prophylaxis. Approximately one-third of inpatients were treated with antimicrobials. Compliance with guidelines for treatment of community-acquired pneumonia with narrow-spectrum penicillin was 17.0% during baseline 2003-2004, and significantly improved to 24.2% in 2010. Corresponding figures for quinolone use in uncomplicated cystitis in women were 28.5% in 2003-2004, and significantly improved, decreasing to 15.3% in 2010. The length of surgical prophylaxis improved significantly when data for a single dose and 1 day were combined, from 56.3% in 2003-2004 to 66.6% in 2010. Improved compliance was possibly the effect of active local feedback, repeated surveys, and increasing awareness of antimicrobial resistance. Strama groups are important for successful local implementation of antimicrobial stewardship programs in Sweden.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Eurosurveillance
volume
21
issue
25
publisher
European Centre for Disease Prevention and Control (ECDC)
external identifiers
  • scopus:84977537945
  • wos:000379244000003
ISSN
1025-496X
DOI
10.2807/1560-7917.ES.2016.21.25.30264
language
English
LU publication?
yes
id
1cf4bbd6-4dd5-4f73-8ef6-440af6f1e569
date added to LUP
2017-01-24 08:36:27
date last changed
2017-09-18 11:33:27
@article{1cf4bbd6-4dd5-4f73-8ef6-440af6f1e569,
  abstract     = {<p>This study sought to analyse antimicrobial pressure, indications for treatment, and compliance with treatment recommendations and to identify possible problem areas where inappropriate use could be improved through interventions by the network of the local Swedish Strategic Programme Against Antibiotic Resistance (Strama) groups. Five point-prevalence surveys were performed in between 49 and 72 participating hospitals from 2003 to 2010. Treatments were recorded for 19 predefined diagnosis groups and whether they were for community-acquired infection, hospital-acquired infection, or prophylaxis. Approximately one-third of inpatients were treated with antimicrobials. Compliance with guidelines for treatment of community-acquired pneumonia with narrow-spectrum penicillin was 17.0% during baseline 2003-2004, and significantly improved to 24.2% in 2010. Corresponding figures for quinolone use in uncomplicated cystitis in women were 28.5% in 2003-2004, and significantly improved, decreasing to 15.3% in 2010. The length of surgical prophylaxis improved significantly when data for a single dose and 1 day were combined, from 56.3% in 2003-2004 to 66.6% in 2010. Improved compliance was possibly the effect of active local feedback, repeated surveys, and increasing awareness of antimicrobial resistance. Strama groups are important for successful local implementation of antimicrobial stewardship programs in Sweden.</p>},
  articleno    = {3},
  author       = {Skoog, Gunilla and Struwe, J. and Cars, O. and Hanberger, H. and Odenholt, I. and Prag, M. and Skärlund, K. and Ulleryd, P. and Erntell, M.},
  issn         = {1025-496X},
  language     = {eng},
  month        = {06},
  number       = {25},
  publisher    = {European Centre for Disease Prevention and Control (ECDC)},
  series       = {Eurosurveillance},
  title        = {Repeated nationwide point-prevalence surveys of antimicrobial use in Swedish hospitals : Data for actions 2003-2010},
  url          = {http://dx.doi.org/10.2807/1560-7917.ES.2016.21.25.30264},
  volume       = {21},
  year         = {2016},
}