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Repeated nationwide point-prevalence surveys of antimicrobial use in Swedish hospitals: data for actions 2003-2010
Public Health Agency Sweden, Sweden; Karolinska Institute, Sweden.
Public Health Agency Sweden, Sweden.
Public Health Agency Sweden, Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Infectious Diseases.
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2016 (English)In: Eurosurveillance, ISSN 1025-496X, E-ISSN 1560-7917, Vol. 21, no 25, 13-21 p.Article in journal (Refereed) PublishedText
Abstract [en]

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.

Place, publisher, year, edition, pages
EUR CENTRE DIS PREVENTION & CONTROL , 2016. Vol. 21, no 25, 13-21 p.
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Infectious Medicine
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URN: urn:nbn:se:liu:diva-130426DOI: 10.2807/1560-7917.ES.2016.21.25.30264ISI: 000379244000003PubMedID: 27367646OAI: oai:DiVA.org:liu-130426DiVA: diva2:951183
Available from: 2016-08-07 Created: 2016-08-05 Last updated: 2016-08-22

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Hanberger, Håkan
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Division of Microbiology and Molecular MedicineFaculty of Medicine and Health SciencesDepartment of Infectious Diseases
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