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Lessons learnt during 20 years of the Swedish strategic programme against antibiotic resistance

Mölstad, Sigvard LU ; Löfmark, Sonja; Carlin, Karin; Erntell, Mats; Aspevall, Olov; Blad, Lars; Hanberger, Håkan; Hedin, Katarina LU ; Hellman, Jenny and Norman, Christer, et al. (2017) In Bulletin of the World Health Organization 95(11). p.764-773
Abstract

Increasing use of antibiotics and rising levels of bacterial resistance to antibiotics are a challenge to global health and development. Successful initiatives for containing the problem need to be communicated and disseminated. In Sweden, a rapid spread of resistant pneumococci in the southern part of the country triggered the formation of the Swedish strategic programme against antibiotic resistance, also known as Strama, in 1995. The creation of the programme was an important starting point for long-term coordinated efforts to tackle antibiotic resistance in the country. This paper describes the main strategies of the programme: committed work at the local and national levels; monitoring of antibiotic use for informed... (More)

Increasing use of antibiotics and rising levels of bacterial resistance to antibiotics are a challenge to global health and development. Successful initiatives for containing the problem need to be communicated and disseminated. In Sweden, a rapid spread of resistant pneumococci in the southern part of the country triggered the formation of the Swedish strategic programme against antibiotic resistance, also known as Strama, in 1995. The creation of the programme was an important starting point for long-term coordinated efforts to tackle antibiotic resistance in the country. This paper describes the main strategies of the programme: committed work at the local and national levels; monitoring of antibiotic use for informed decision-making; a national target for antibiotic prescriptions; surveillance of antibiotic resistance for local, national and global action; tracking resistance trends; infection control to limit spread of resistance; and communication to raise awareness for action and behavioural change. A key element for achieving long-term changes has been the bottom-up approach, including working closely with prescribers at the local level. The work described here and the lessons learnt could inform countries implementing their own national action plans against antibiotic resistance.

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Bulletin of the World Health Organization
volume
95
issue
11
pages
10 pages
publisher
World Health Organization
external identifiers
  • scopus:85032904385
  • wos:000414586800015
ISSN
0042-9686
DOI
10.2471/BLT.16.184374
language
English
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yes
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b8fa1c4e-d12c-4a51-8c22-348f91f457da
date added to LUP
2017-11-22 12:58:16
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2018-01-21 04:25:51
@article{b8fa1c4e-d12c-4a51-8c22-348f91f457da,
  abstract     = {<p>Increasing use of antibiotics and rising levels of bacterial resistance to antibiotics are a challenge to global health and development. Successful initiatives for containing the problem need to be communicated and disseminated. In Sweden, a rapid spread of resistant pneumococci in the southern part of the country triggered the formation of the Swedish strategic programme against antibiotic resistance, also known as Strama, in 1995. The creation of the programme was an important starting point for long-term coordinated efforts to tackle antibiotic resistance in the country. This paper describes the main strategies of the programme: committed work at the local and national levels; monitoring of antibiotic use for informed decision-making; a national target for antibiotic prescriptions; surveillance of antibiotic resistance for local, national and global action; tracking resistance trends; infection control to limit spread of resistance; and communication to raise awareness for action and behavioural change. A key element for achieving long-term changes has been the bottom-up approach, including working closely with prescribers at the local level. The work described here and the lessons learnt could inform countries implementing their own national action plans against antibiotic resistance.</p>},
  author       = {Mölstad, Sigvard and Löfmark, Sonja and Carlin, Karin and Erntell, Mats and Aspevall, Olov and Blad, Lars and Hanberger, Håkan and Hedin, Katarina and Hellman, Jenny and Norman, Christer and Skoog, Gunilla and Stålsby-Lundborg, Cecilia and Tegmark Wisell, Karin and Åhréni, Christina and Cars, Otto},
  issn         = {0042-9686},
  language     = {eng},
  month        = {11},
  number       = {11},
  pages        = {764--773},
  publisher    = {World Health Organization},
  series       = {Bulletin of the World Health Organization},
  title        = {Lessons learnt during 20 years of the Swedish strategic programme against antibiotic resistance},
  url          = {http://dx.doi.org/10.2471/BLT.16.184374},
  volume       = {95},
  year         = {2017},
}