Hotet från omvärlden ökar. Increased knowledge on an increasing problem number of hits in Pub-MED for (antibiotic or antimicrobial) + resistance by 5.

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Presentation transcript:

Hotet från omvärlden ökar

Increased knowledge on an increasing problem number of hits in Pub-MED for (antibiotic or antimicrobial) + resistance by 5 year’s periods

MRSA in Europe Data from EARSS.

Crude estimate from Israel: 4% of all fatalities in hospitals related to Gram-neg multiresistant nosocomial inf. (Carmeli 2005) Crude estimate from EU-15: 5,800 excess deaths in ICU related to resistance (Harbarth et al 2005) Rough estimate of global gonnorhoea treatment failure: 3 million cases annually (of total 62 million cases) (Tapsall 2005) The tip of the iceberg…

The Current Paradox AntibioticResistanceAntibioticResistanceDrugDevelopmentDrugDevelopment

Sveriges beredskap är god?

Sales of Antibiotics in the Nordic Countries DDD/1000 inhabitants/day

Sveriges beredskap är god? Optimal sjukhusanvändning? Optimal kinolonanvändning? Optimal diagnostik? Optimal hygien? Optimal profylax?

Guidelines does not work unless they are implemented ! Implementation does not work unless there is local comittment and educational outreach !