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Study protocol for ...
Study protocol for One Health data collections, analyses and intervention of the Sino-Swedish integrated multisectoral partnership for antibiotic resistance containment (IMPACT)
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- Sun, Qiang (författare)
- Shandong University, Center for Health Management and Policy, Jinan, China; NHFPC (Shandong University), Key Laboratory of Health Economics and Policy Research, Jinan, China,Shandong Univ, Peoples R China
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- Wang, Yang (författare)
- China Agricultural University, College of Veterinary Medicine, Beijing, China,China Agr Univ, Peoples R China
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- Hulth, Anette (författare)
- Karolinska Institutet
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- Xiao, Yonghong (författare)
- First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China,Zhejiang Univ, Peoples R China
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- Nilsson, Lennart E (författare)
- Linköpings universitet,Avdelningen för mikrobiologi och molekylär medicin,Medicinska fakulteten
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- Li, Xuewen (författare)
- Department of Environment and Health, School of Public Health, Shandong University, Jinan, China,Shandong Univ, Peoples R China
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- Bi, Zhenwang (författare)
- Shandong Center for Disease Control and Prevention, Jinan, Shandong, China; Shandong Provincial Key Laboratory of Infectious Disease Control and Prevention, Jinan, China,Shandong Ctr Dis Control and Prevent, Peoples R China; Shandong Prov Key Lab Infect Dis Control and Preven, Peoples R China
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- Liu, Yuqing (författare)
- Shandong Academy of Agricultural Sciences, Jinan, China; Key Laboratory of Animal Epidemic Prevention and Breeding in Shandong Province, Jinan, China,Shandong Acad Agr Sci, Peoples R China; Key Lab Anim Epidem Prevent and Breeding Shandong P, Peoples R China
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- Yin, Hong (författare)
- Linköpings universitet,Avdelningen för mikrobiologi och molekylär medicin,Medicinska fakulteten
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- Luo, Yanbo (författare)
- Shandong Academy of Agricultural Sciences, Jinan, China; Key Laboratory of Animal Epidemic Prevention and Breeding in Shandong Province, Jinan, China,Shandong Acad Agr Sci, Peoples R China; Key Lab Anim Epidem Prevent and Breeding Shandong P, Peoples R China
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- Nilsson, Maud (författare)
- Linköpings universitet,Avdelningen för mikrobiologi och molekylär medicin,Medicinska fakulteten
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- Sun, Chengtao (författare)
- Karolinska Institutet
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- Zhu, Yiqing (författare)
- Hebei Provincial Center for Disease Control and Prevention, Shijiazhuang, China,Hebei Prov Ctr Dis Control and Prevent, Peoples R China
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- Zheng, Beiwen (författare)
- First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China,Zhejiang Univ, Peoples R China
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- Chen, Baoli (författare)
- Shandong Center for Disease Control and Prevention, Jinan, Shandong, China; Shandong Provincial Key Laboratory of Infectious Disease Control and Prevention, Jinan, China,Shandong Ctr Dis Control and Prevent, Peoples R China; Shandong Prov Key Lab Infect Dis Control and Preven, Peoples R China
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- Sun, Pan (författare)
- Department of Environment and Health, School of Public Health, Shandong University, Jinan, China,Shandong Univ, Peoples R China
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- Ding, Lilu (författare)
- Center for Health Management and Policy, Shandong University, Jinan, Shandong, China; Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, Jiangsu, China,Shandong Univ, Peoples R China; Nanjing Univ, Peoples R China
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- Xia, Xi (författare)
- China Agricultural University, College of Veterinary Medicine, Beijing, China,China Agr Univ, Peoples R China
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- Ottoson, Jakob (författare)
- Karolinska Institutet
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- Löfmark, Sonja (författare)
- Public Health Agency of Sweden, Solna, Sweden
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- Dyar, Oliver James (författare)
- Department of Public Health Sciences, Global Health - Health Systems and Policy, Karolinska Institutet, Solna, Sweden,Karolinska Inst, Sweden
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- Börjesson, Stefan, 1979- (författare)
- National Veterinary Institute, Uppsala, Sweden,Natl Vet Inst, Sweden
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- Lundborg, Cecilia Stalsby (författare)
- Department of Public Health Sciences, Global Health - Health Systems and Policy, Karolinska Institutet, Solna, Sweden,Karolinska Inst, Sweden
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(creator_code:org_t)
- 2018-01-21
- 2018
- Engelska.
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 8:1
- Relaterad länk:
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https://doi.org/10.1...
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https://bmjopen.bmj....
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- INTRODUCTION: To effectively minimise the emergence and dissemination of antibiotic resistant bacteria, a holistic One Health approach is called for. The Sino-Swedish Integrated Multisectoral Partnership for Antibiotic Resistance Containment is a cross-sectoral and integrated project on antibiotic resistance, conducted in Shandong Province in China. This paper outlines the overall study protocol for the project. To our knowledge, this is the first research programme aiming to take a true holistic approach across multiple sectors simultaneously in China, and the first to incorporate both antibiotic use and infection prevention and control in addition to antibiotic resistance patterns. The project aims to address gaps in current knowledge and seeks to improve the situation through a system-wide intervention. By using a One Health approach we can address important research questions that individual discipline investigations are unable to. The results obtained should thus more closely reflect the world in which human health, animal health and the environment are inextricably and intimately interlinked.METHODS AND ANALYSIS: Both quantitative and qualitative studies are included for households from 12 villages, their surrounding environment and a tertiary care hospital in a nearby town. The studies include analyses of antibiotic consumption for humans and pigs; qualitative and quantitative data on perceptions, knowledge and attitudes; faecal carriage of extended spectrum β-lactamase and carbapenemase-producing Enterobacteriaceae from pigs and humans, and occurrence in household drinking water, surface water, waste water and clinical bacterial isolates from the hospital. Carriage of methicillin-resistant Staphylococcus aureus in humans, household pigs and clinical bacterial isolates is also investigated. Furthermore, potential inter-relationships between these sources are analysed. A multifaceted One Health intervention is designed and implemented in 6 of the 12 villages. Repeated and continuous data collections take place over 2 years, where the repeated data collection is performed after 1 year of intervention. Comparisons are made between intervention and control villages, before and after the intervention.ETHICS: Ethics approval was obtained from the first Affiliated Hospital, College of Medicine, Zhejiang University, China, reference number 2015#185 and 2015#283.
Ämnesord
- 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)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- antibiotic consumption
- antibiotic prescribing
- antibiotic residues
- antibiotic resistance
- intervention
- one health
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- Av författaren/redakt...
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Sun, Qiang
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Wang, Yang
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Hulth, Anette
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Xiao, Yonghong
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Nilsson, Lennart ...
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Li, Xuewen
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visa fler...
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Bi, Zhenwang
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Liu, Yuqing
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Yin, Hong
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Luo, Yanbo
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Nilsson, Maud
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Sun, Chengtao
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Zhu, Yiqing
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Zheng, Beiwen
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Chen, Baoli
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Sun, Pan
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Ding, Lilu
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Xia, Xi
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Ottoson, Jakob
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Löfmark, Sonja
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Dyar, Oliver Jam ...
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Börjesson, Stefa ...
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Lundborg, Cecili ...
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