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Göteborgs universitets publikationer

Repeated nationwide point-prevalence surveys of antimicrobial use in Swedish hospitals: data for actions 2003-2010

Författare och institution:
G. Skoog (-); J. Struwe (-); O. Cars (-); H. Hanberger (-); I. Odenholt (-); M. Prag (-); K. Skarlund (-); Peter Ulleryd (Institutionen för biomedicin, avdelningen för infektionssjukdomar); M. Erntell (-)
Publicerad i:
Eurosurveillance, 21 ( 25 ) s. 13-21
ISSN:
1560-7917
Publikationstyp:
Artikel, refereegranskad vetenskaplig
Publiceringsår:
2016
Språk:
engelska
Fulltextlänk:
Sammanfattning (abstract):
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.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Klinisk medicin ->
Infektionsmedicin
Nyckelord:
antibiotic use, university hospitals, acquired infections, european, countries, oral antibiotics, medical wards, 3-year survey, guidelines, implementation, region, Infectious Diseases
Postens nummer:
239638
Posten skapad:
2016-07-28 16:14
Posten ändrad:
2016-08-16 15:52

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