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Title of the publicationSTRAMA - a Swedish working model for containment of antibiotic resistance
Abstract

The overall aim of Strama (The Swedish Strategic Programme Against Antibiotic Resistance) is to preserve the effectiveness of antibiotics in humans and animals. Strama is organised at two levels: a network of independent local multidisciplinary groups in each county that provide prescribers with feedback on antibiotic use and resistance and implement guidelines; and a national executive working group funded by the government. To gain an insight into antibiotic use, Strama has conducted several large diagnosisprescribing surveys in primary care, in the hospital settings and in nursing homes. National antibiotic susceptibility data for Sweden and mandatory notification show that in recent years the proportion of Streptococcus pneumoniae with decreased sensitivity to penicillin V has stabilised (around 6 %), but the number of notified cases of meticillin-resistant Staphylococcus aureus (MRSA) has increased and ESBL-producing Enterobacteraceae have turned into an endemic situation. Still, Sweden is among the countries with the lowest rates of MRSA (<1 %), S. pneumoniae can still be treated with penicillin V and the rate of Escherichia coli-producing ESBLs is below 5 %. Strama´s activities have contributed to a steady decrease in antibiotic use from the mid 1990s until 2004 (when total use slowly started to increase again) without measurable negative consequences. Regular collaboration with national and regional news media has been one of the key strategies.

DOIhttps://doi.org/10.2807/ese.13.46.19041-en
Name of the first authorMölstad, Sigvard
Year of publication2008
Study design of the publicationNarrative
Method for data collection and analysis
  • Mixed
Mixed
Scientific references about the intervention or other assessment of the intervention

Mölstad S, Cars O, Struwe J. Strama - a Swedish working model for containment of antibiotic resistance. Euro Surveill. 2008;13(46):pii=19041
Mölstad, S., Erntell, M., Hanberger, H., Melander, E., Norman, C., Skoog, G., ... & Cars, O. (2008). Sustained reduction of antibiotic use and low bacterial resistance: 10-year follow-up of the Swedish Strama programme. The Lancet infectious diseases, 8(2), 125-132.

Other references about the intervention or other assessment of the intervention

http://www.strama.se

Sector
  • Animal - All activities regarding living animals
  • Human - All activities regarding organisations and individuals involved in health products and services
Sub-sectorSub-sectors are further units of demarcation within a sector E.g. awareness campaign from veterinarians to cat owners about toxoplasmosis drug resistance and transmission of resistant bacteria: ANIMAL, PETS
Subsector (human)
  • Healthcare delivery
Healthcare delivery