ArticleBulletin of the World Health Organization2017
Lessons learnt during 20 years of the Swedish strategic programme against antibiotic resistance.
Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 1 of them a synthesis that pooled it.
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Who cites it
98 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Trial
- Effect of a multifaceted antibiotic stewardship intervention to improve antibiotic prescribing for suspected urinary tract infections in frail older adults (ImpresU): pragmatic cluster randomised controlled trial in four European countries.BMJ (Clinical research ed.) · 2023Trial
- Understaffing and overprescribing: a register study on the role of locum physicians in antibiotic prescribing patterns in primary care in Northern Sweden.Scandinavian journal of primary health care · 2026Article
- Epidemiology of penicillin allergy labels in a general Swedish population.The journal of allergy and clinical immunology. Global · 2026Article
- Refinement of a scoping tool to tackle antimicrobial resistance via a primary health care approach: insights from Kazakhstan, Sweden, and Thailand.The Lancet. Primary care · 2026Review
- Promoting Sustainable Prescribing-A Case Study Presenting Experiences From Two Swedish Drug and Therapeutics Committees.Pharmacology research & perspectives · 2026Article
- Mapping nationally adopted targets for antimicrobial consumption and stewardship indicators in the human health domain, 25 European Union/European Economic Area countries, 2025.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026Article
- Evolution and rise of antimicrobial resistance in key public health bacteria within and across the One Health sectors.Future microbiology · 2026Review
- Enhancing primary care quality improvement through national data collection and validation: the primary care quality initiative in Sweden.Scandinavian journal of primary health care · 2025Article
- Antimicrobial ResistantInternational journal of environmental research and public health · 2025Article
- A strategic approach to regulating new antimicrobials.Journal of global health · 2025Article
- Most European countries will miss EU targets on antibacterial use by 2030: historical analysis of European and OECD countries, comparison of community and hospital sectors and forecast to 2040.Naunyn-Schmiedeberg's archives of pharmacology · 2025Article
- Sociocultural determinants of antimicrobial resistance in Iran: a qualitative study.BMC public health · 2025Article
- Factors associated with antibiotic use during pregnancy in Sweden: a population-based cohort study.BMC pregnancy and childbirth · 2025Article
- Article
- Public Awareness and Perceptions of Antibiotic Use in Human and Veterinary Medicine in Serbia.Antibiotics (Basel, Switzerland) · 2025Article
- A Multicenter Study of Factors Related to Early Implant Failures-Part 1: Implant Materials and Surgical Techniques.Clinical implant dentistry and related research · 2025Article
- Knowledge, Awareness, and Perceptions Towards Antibiotic Use, Resistance, and Antimicrobial Stewardship Among Final-Year Medical and Pharmacy Students in Saudi Arabia.Antibiotics (Basel, Switzerland) · 2025Article
- Setting targets for antibiotic use in general practice in Europe: A scoping review.The European journal of general practice · 2024Article
38 more citing papers are in PubMed but not listed here.
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Authors and funding
15 authors.
Funding
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Abstract
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.
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