Norwegian Strategy Aginst Antibiotic Resistance – some examples

Presentasjon om: "Norwegian Strategy Aginst Antibiotic Resistance – some examples"— Utskrift av presentasjonen:

1 Norwegian Strategy Aginst Antibiotic Resistance – some examples
Martin Steinbakk Norwegian Institute of Public Health Domain for Infection Control and Environmental Health

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4 National Strategy Against Antibiotic Resistance 2015-2020

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6 Huge differences in antibiotic use within Norway
Huge differences in antibiotic use within Norway. Women uses more antibiotics than men and doctors in some counties prescribe 40% more than doctors in the lowest prescription counties NORM/NORM-VET 2014 40% more prescriptions per 1000 inhabitants in the county of Østfold than in th ecounty of Troms

7 Antibiotic usage in animal husbandry varies enormous between countries Norway: humans 88%, terrestrial animals 11%, fish 1% (NORM/NORM-VET 2014) 2013 Norway ,7 mg/PCU Denmark 44,9 mg/PCU Holland 69,9 mg/PCU Data for Norway includes fish where almost no antibiotics are used 2009 Norway 20 mg/kg biomass Denmark 50 mg/kg biomass (2,5x↑) Holland 180 mg/kg biomass (9x↑) Fish not included for Norway 2009 EMA, 5th ESVAC report. Sales of veterinary antimicrobial agents in 26 EU/EEA countries in 2013

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9 Annual report on: Usage of Antimicrobial Agents and Occurence of Antimicrobial resistance in Norway 2014 All microbes (isolates) are stored with individual data NORM/NORM-VET 2014: Usage of Antimicrobial Agents and Occurrence of Antimicrobial Resistance in Norway. Tromsø / Oslo ISSN (print) / (electronic). Vi har flere ulike systemer for å overvåke forekomst av antibiotikaresistens og forbruk av antibiotika i Norge. En viktig kilde til informasjon er den årlige NORM-rapporten.

10 Prevalence of ESBL-positive E
Prevalence of ESBL-positive E. coli and Klebsiella spp i Norway (NORM/NORM-VET 2014)