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Antibiotic-prescribing and antibiotic-resistance patterns among elderly citizens residing in two Nordic regions
Univ Copenhagen, Denmark.
Univ Copenhagen, Denmark.
Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Futurum, Reg Jonkoping Cty, Linkoping, Sweden; Lund Univ, Sweden.
Skane Reg, Sweden; Lund Univ, Sweden.
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2020 (Engelska)Ingår i: Infectious Diseases, ISSN 2374-4235, E-ISSN 2374-4243Artikel i tidskrift (Refereegranskat) Epub ahead of print
Abstract [en]

Objective: The objective of this study was to compare antibiotic-prescribing rates in 2016 and antibiotic-resistance rates in 2017 among citizens aged amp;gt;= 85 years between the Capital Region in Denmark and the Skane Region in Sweden, with regards to overall antibiotic use and antibiotics of choice for urinary tract infections (UTIs) and skin and soft tissue infections (SSTIs). Methods: Inhabitants amp;gt;= 85 year old on the date of prescription during 2016 and residing in the Capital Region or the Skane Region were included for antibiotic-prescription analyses. Samples from 2017 from residents of the same regions who were amp;gt;= 85 years old were included for antibiotic-resistance analyses. Antimicrobial use was determined according to the drugs of choice for UTIs and SSTIs in Denmark and Sweden. Students t-tests were used to compare antibiotic prescribing while a Chi-Squared test was performed to compare antibiotic resistance. Results: There was a significantly higher overall prescription rate among citizens amp;gt;= 85 years in the Capital Region than in the Skane Region. The same pattern was evident for the antibiotics of choice for UTIs and SSTIs except for clindamycin. Antibiotic resistance against all antibiotics included was more prominent in the Capital Region than in the Skane Region. Conclusion: Considerable variation in antibiotic prescribing and resistance exists among elderly citizens between these two adjacent Nordic regions. Information and reflection on current practices and resistance patterns may direct attention towards antimicrobial stewardship as a higher priority and may help inform and motivate prescribing behaviours.

Ort, förlag, år, upplaga, sidor
TAYLOR & FRANCIS LTD , 2020.
Nyckelord [en]
Urinary tract infection; skin and soft tissue infections; elderly; antibiotic prescription; antibiotic resistance
Nationell ämneskategori
Infektionsmedicin
Identifikatorer
URN: urn:nbn:se:liu:diva-163398DOI: 10.1080/23744235.2019.1711159ISI: 000506547700001PubMedID: 31924124OAI: oai:DiVA.org:liu-163398DiVA, id: diva2:1391411
Anmärkning

Funding Agencies|Scandinavian Society for Antimicrobial Chemotherapy Foundation [SLS-690661]

Tillgänglig från: 2020-02-04 Skapad: 2020-02-04 Senast uppdaterad: 2020-02-24

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Hedin, Katarina
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Avdelningen för prevention, rehabilitering och nära vårdMedicinska fakulteten
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Infectious Diseases
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