↓ Skip to main content

Sustained reduction of antibiotic use and low bacterial resistance: 10-year follow-up of the Swedish Strama programme

Overview of attention for article published in Lancet Infectious Diseases, February 2008
Altmetric Badge

About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (92nd percentile)
  • Good Attention Score compared to outputs of the same age and source (75th percentile)

Citations

dimensions_citation
203 Dimensions

Readers on

mendeley
226 Mendeley
citeulike
1 CiteULike
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Title
Sustained reduction of antibiotic use and low bacterial resistance: 10-year follow-up of the Swedish Strama programme
Published in
Lancet Infectious Diseases, February 2008
DOI 10.1016/s1473-3099(08)70017-3
Pubmed ID
Authors

S Mölstad, M Erntell, H Hanberger, E Melander, C Norman, G Skoog, C Stålsby Lundborg, A Söderström, E Torell, O Cars

Abstract

Increasing use of antibiotics and the spread of resistant pneumococcal clones in the early 1990s alarmed the medical profession and medical authorities in Sweden. Strama (Swedish Strategic Programme for the Rational Use of Antimicrobial Agents and Surveillance of Resistance) was therefore started in 1994 to provide surveillance of antibiotic use and resistance, and to implement the rational use of antibiotics and development of new knowledge. Between 1995 and 2004, antibiotic use for outpatients decreased from 15.7 to 12.6 defined daily doses per 1000 inhabitants per day and from 536 to 410 prescriptions per 1000 inhabitants per year. The reduction was most prominent in children aged 5-14 years (52%) and for macrolides (65%). During this period, the number of hospital admissions for acute mastoiditis, rhinosinusitis, and quinsy (peritonsillar abscess) was stable or declining. Although the epidemic spread in southern Sweden of penicillin-resistant Streptococcus pneumoniae was curbed, the national frequency increased from 4% to 6%. Resistance remained low in most other bacterial species during this period. This multidisciplinary, coordinated programme has contributed to the reduction of antibiotic use without measurable negative consequences. However, antibiotic resistance in several bacterial species is slowly increasing, which has led to calls for continued sustained efforts to preserve the effectiveness of available antibiotics.

X Demographics

X Demographics

The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 226 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 4 2%
Ireland 2 <1%
Sweden 2 <1%
Australia 1 <1%
France 1 <1%
Kenya 1 <1%
Spain 1 <1%
Unknown 214 95%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 32 14%
Researcher 32 14%
Student > Master 29 13%
Other 20 9%
Student > Bachelor 19 8%
Other 55 24%
Unknown 39 17%
Readers by discipline Count As %
Medicine and Dentistry 81 36%
Agricultural and Biological Sciences 25 11%
Pharmacology, Toxicology and Pharmaceutical Science 13 6%
Immunology and Microbiology 9 4%
Nursing and Health Professions 9 4%
Other 43 19%
Unknown 46 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 11. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 May 2020.
All research outputs
#3,274,360
of 25,373,627 outputs
Outputs from Lancet Infectious Diseases
#2,920
of 6,038 outputs
Outputs of similar age
#13,656
of 172,945 outputs
Outputs of similar age from Lancet Infectious Diseases
#4
of 16 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. Compared to these this one has done well and is in the 86th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,038 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 92.3. This one has gotten more attention than average, scoring higher than 51% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 172,945 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 16 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 75% of its contemporaries.