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Lessons learnt duri...
Lessons learnt during 20 years of the swedish strategic programme against antibiotic resistance
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- Mölstad, Sigvard (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Löfmark, S. (author)
- Public Health Agency Sweden, Sweden,Public Health Agency of Sweden
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- Carlin, K. (author)
- Public Health Agency Sweden, Sweden,Public Health Agency of Sweden
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- Erntell, M. (author)
- County Halland, Sweden,Region Halland
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- Aspevall, O. (author)
- Public Health Agency Sweden, Sweden,Public Health Agency of Sweden
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- Blad, L. (author)
- County Varmland, Sweden,County Council of Värmland
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- Hanberger, Håkan (author)
- Linköping University,Linköpings universitet,Avdelningen för mikrobiologi och molekylär medicin,Medicinska fakulteten,Region Östergötland, Infektionskliniken i Östergötland
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- Hedin, Katarina (author)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Hellman, J. (author)
- Public Health Agency Sweden, Sweden,Public Health Agency of Sweden
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- Norman, C. (author)
- Public Health Agency Sweden, Sweden,Public Health Agency of Sweden
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- Skoog, G. (author)
- Public Health Agency Sweden, Sweden,Public Health Agency of Sweden
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- Stålsby-Lundborg, C. (author)
- Karolinska Institute,Karolinska Institutet,Department Public Heatlh, Sweden
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Tegmark Wisell, K. (author)
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- Åhrén, Christina (author)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine,Sahlgrens Acad, Sweden
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- Cars, O. (author)
- Public Health Agency Sweden, Sweden,Public Health Agency of Sweden
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(creator_code:org_t)
- WORLD HEALTH ORGANIZATION, 2017
- 2017
- English.
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In: Bulletin of the World Health Organization. - : WORLD HEALTH ORGANIZATION. - 0042-9686 .- 1564-0604. ; 95:11, s. 764-773
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- antibiotic agent
- cephalosporin
- penicillin derivative
- antibiotic resistance
- antibiotics
- bacterium
- bottom-up approach
- decision making
- health monitoring
- health services
- public health
- strategic approach
- access to information
- Article
- clinical decision making
- health program
- health survey
- hospital bed utilization
- human
- hygiene
- infection control
- mass communication
- pharmacy
- practice guideline
- prescription
- primary health care
- socioeconomics
- Sweden
- Bacteria (microorganisms)
- Streptococcus pneumoniae
Publication and Content Type
- vet (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Mölstad, Sigvard
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Löfmark, S.
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Carlin, K.
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Erntell, M.
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Aspevall, O.
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Blad, L.
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show more...
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Hanberger, Håkan
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Hedin, Katarina
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Hellman, J.
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Norman, C.
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Skoog, G.
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Stålsby-Lundborg ...
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Tegmark Wisell, ...
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Åhrén, Christina
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Cars, O.
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show less...
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- By the university
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University of Gothenburg
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Karolinska Institutet
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Linköping University
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Lund University