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Hvordan oplever og håndterer de danske infektionshygiejniske enheder risikoen for udvikling af antibiotikaresistente mikroorganismer?
Nordic Council of Ministers, Nordic School of Public Health NHV.
2014 (Danish)Independent thesis Advanced level (degree of Master (Two Years))Student thesisAlternative title
How do Danish infection control specialists perceiveand manage the threat of antimicrobial resistance? (English)
Abstract [da]

Baggrund: Antibiotikaresistente mikroorganismer er et globalt folkesundhedsproblem. Trods forebyggende indsatser ses en fortsat en markant stigningi resistensudviklingen,som er en alvorlig trussel for både nuværende og fremtidens patienter.

Formål: Studiet skulle belyse hvordan læger og sygeplejersker fra de danske infektions-hygiejniske enheder oplevede og håndterede risikoen for udvikling af antibiotikaresistente mikroorganismer, og om der var behov for initiativer til at sikre bedre overensstemmelse mellem den officielle og de enkelte beslutningstageres forståelse og håndteringaf problemet.

Metode: Kvalitativt design,hvor det empiriske materiale blevindsamlet ved semi-strukturerede interviewsaflæger og sygeplejersker fra infektionshygiejniske enheder. Data blev analyseret med kvalitativ indholdsanalyse. Den teoretiske ramme for studiet var ledelse, intersektorielt og tværsektorielt samarbejde, samt kvalitetsforbedring og evaluering.

Resultat: Studietviser at den hidtidige indsats i Danmark ikke har været tilstrækkelig for at hindre smittespredning og udvikling af nye resistente mikroorganismer. Som årsag anføres, at man ikke i tilstrækkeligt omfang efterlever anbefalingerne til, hvad der bør indgå i et infektionskontrolprogram, såsom videreuddannelse, retningslinjer, information og undervisning, overvågning og en national antibiotikapolitik. Udmeldingen var, at der var tilstrækkeligt mange og overensstemmende nationale og internationale guidelines; der var ikke behov for flere, men derimod behov for en langt bedre implementering og information til alle involverede personalegrupper

Konklusion: Der bør etableres et intersektorielt og tværsektorielt nationalt samarbejde, bl.a. med fokus på at minimere antibiotikaforbruget. Til dette kræves deltagelse af praktiserende læger, fagprofessionelle fra sundhedsvæsenet, landbruget, Fødevarestyrelsen og -ikke mindst -involvering af ledere samt relevante organisationer og ministerier

Abstract [en]

Background: Antimicrobial resistance is a serious threat to present and future patients. Despite several interventions, the increase in multidrug-resistant microorganisms is a global challenge in public health.

Aim: This study describes and analyzesthe viewpoint of infection control specialists (physicians and infection control nurses) regarding the threat of antimicrobial resistance. It was also evaluated whether specialists perceive a need to improve the match between individual specialist and decision makers.

Methods: Qualitative content theory was used to analyze empirical data based upon semi-structured interviews with infection control specialists. Management, inter-and cross-sector cooperation, and quality improvement and evaluationformed the theoretical framework for this thesis.

Results: Interviewees reported thatDenmark’s efforts to prevent the spread of infection and the development of new resistant micro-organisms have been insufficient. The interviewees viewed current national and international guidelines as sufficient but the interviewees expressed that there is in adequate compliance withvarious elements of the infection control program, including vocational training, guidelines, information and education, monitoring, and a national antibiotic strategy. However, there is a need for more focus and emphasis on implementation and information to all involved personnel.

Conclusion: Antimicrobial resistance requires greaterinter-and cross-sector cooperationin Denmark, regarding the overuse of antibiotics. This effort will require the participation of general practitioners, healthcare professionals, veterinarian specialists, as well as the involvement of leaders and relevant organizations and ministries

Place, publisher, year, edition, pages
2014. , 36 p.
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2014:26
Keyword [en]
multidrugresistant microorganisms, quality improvement, implementation, management, cross - sector cooperation
Keyword [da]
antibiotikaresistente mikroorganismer, kvalitetsforbedring, implementering, ledelse, tværsektorielt samarbejde
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3623OAI: oai:DiVA.org:norden-3623DiVA: diva2:783414
Presentation
2014-10-15, Nordic School of Public Health NHV, Box 12133, Göteborg, Sweden, 11:34 (Danish)
Supervisors
Note

ISBN 978-91-86739-91-1

Available from: 2015-01-26 Created: 2015-01-26 Last updated: 2015-01-26Bibliographically approved

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MPH 2014:26(642 kB)94 downloads
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