/dr_johan_carlson

Antibiotic resistance – the Swedish experience Johan Carlson Director General

The containment of antibiotic resistance needs co-ordination and feedback of knowledge Surveillance

Decrease the need for antibiotics

Use antibiotics properly

Resistance patterns

Prevention of disease

Diagnostics

Antibiotic usage

Prevention of bacterial spread

Health care associated infections

Rational use

Strama - the Swedish strategic programme against antibiotic resistance National coordination: SMI - Swedish Institute for Communicable Disease Control Local groups in all counties of Sweden

Strama co-ordination and feedback Political level

Swedish Medical Association

National Board of Health and Welfare

Professional organizations

Medical Products Agency European Centre for Disease Prevention and Control

Swedish Institute for Communicable Disease Control

Strama Advisory Board experts

Network of local Strama groups

Swedish Veterinary Institute Swedish Association of County Councils

The Dental and Pharmaceutical Benefits Agency

0 2009

2008

2007

2006

2005

2004

2003

2002

2001

2000

1999

1998

1997

1200

1996

1995

1994

1993

1992

1991

1990

1989

1988

1987

Recept/ 1000 invånare och år

1400

Antibiotic presciptions/1000 in different age groups in Sweden

1000

800

600

400

200

0 -­‐ 4

5-­‐14

15 -­‐ 64

65 -­‐ 99

An3bio3c prescrip3ons -­‐ regional 500 450

recept/1000 invånare och år

400 350 300 250 200 150 100 50 0

2006 2007 2008 2009