Establish antimicrobial stewardship teams with prescribing audit and feedback

#00373

Create multidisciplinary stewardship teams that issue local treatment guidance, review prescribing, feed results back to clinicians and safely narrow or stop unnecessary antibiotics.

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Finland

Success

Finnish public-health authorities and clinical professional bodies · National

After macrolide resistance in group A streptococci rose in Finland, national recommendations were issued by public-health authorities and clinical professional bodies to reduce macrolide use for respiratory and skin inf…

Macrolide consumption2.40 in 1991 → 1.38 in 1992defined daily doses per 1,000 inhabitants per day

Erythromycin-resistant group A streptococci16.5 in 1992 → 8.6 in 1996percent of isolates

1 source

Sweden

Success

Swedish strategic programme against antibiotic resistance (Strama) · National

Sweden established Strama in 1995 as a national and regional collaboration for rational antibiotic use. Regional groups combine local treatment recommendations, surveillance, professional education, prescribing feedback…

Outpatient antibiotic prescriptions560 in 1992 → 256 in 2025prescriptions per 1,000 inhabitants per year

Antibiotic prescriptions for children aged 0 to 41,328 in 1992 → 349 in 2016prescriptions per 1,000 children per year

3 sources

communityfix.org