Abstract

Investments to reduce the spread of antimicrobial resistance (AMR) in the European Union have been made, including efforts to strengthen prudent antimicrobial use. Using segmented regression, we report decreasing and stabilising trends in data reported to the European Surveillance of Antimicrobial Consumption Network and stabilising trends in data reported to the European Antimicrobial Resistance Surveillance Network. Our results could be an early indication of the effect of prioritising AMR on the public health agenda.

Highlights

  • Citation style for this article: Peñalva Germán, Högberg Liselotte Diaz, Weist Klaus, Vlahović-Palčevski Vera, Heuer Ole, Monnet Dominique L, ESAC-Net study group, EARS-Net study group

  • Investments to reduce the spread of antimicrobial resistance (AMR) in the European Union have been made, including efforts to strengthen prudent antimicrobial use

  • Our analysis shows that the increase in AMR in E. coli and K. pneumoniae was most prominent up to 2012/13, after which there is a tendency towards stabilising levels

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Summary

EARS-Net study group participants are listed at the end of the article

Citation style for this article: Peñalva Germán, Högberg Liselotte Diaz, Weist Klaus, Vlahović-Palčevski Vera, Heuer Ole, Monnet Dominique L, ESAC-Net study group, EARS-Net study group. Decreasing and stabilising trends of antimicrobial consumption and resistance in Escherichia coli and Klebsiella pneumoniae in segmented regression analysis, European Union/European Economic Area, 2001 to 2018. We report decreasing and stabilising trends in data reported to the European Surveillance of Antimicrobial. We describe trends in antimicrobial consumption of fluoroquinolones, third-generation cephalosporins and carbapenems between 2001 and 2018 and for AMR in Escherichia coli and Klebsiella pneumoniae. Joinpoint regression analysis of trends: EU/EEA population-weighted mean consumption expressed in DDD per 1000 inhabitants per day, per antimicrobial group and sector, ESAC-Net/ESAC, 2001–2018. For consumption of third-generation cephalosporins in hospital sector (Table 1, Figure 1) and carbapenems in the hospital sector (Table 1, Figure 3), the most recent segments showed stable levels whereas previous segments www.eurosurveillance.org. Consumption of third-generation cephalosporins by sector and third-generation cephalosporin resistance by microorganism, including detected trend segments, EU/

Resistance to third-generation cephalosporins
Discussion
Resistance to carbapenems
Conclusion
Conflict of interest

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