The Public Health Agency of Sweden
Updated 9 June 2020

IMPACT – a Sino-Swedish collaboration to combat antibiotic resistance

In the IMPACT project contributing factors to the development and spread of antibiotic resistance are addressed through a holistic approach within a geographically defined area in China. Recent technical advances within molecular biology permit new questions to be asked.


Anette Hulth
Phone: +46 10 205 23 95

The Sino-Swedish integrated multi-sectoral partnership for antibiotic resistance containment (IMPACT) was funded from 2014 to 2018 by the Swedish Research Council (VR) and National Natural Science Foundation of China (NSFC). The project brings together a wide range of expertise in Sweden and China in the area of antibiotic use and resistance.

Project summary (pdf)

Main areas included in the IMPACT research collaboration are:

  • knowledge, attitudes and practice concerning human and animal antibiotic use
  • distribution of resistant bacteria and genetic elements within the human, animal, environmental and health care sectors
  • design, implementation and evaluation of strategies to promote rational use of antibiotics and to limit the spread of antibiotic resistance in all sectors.


  • Li J, Bi Z, Ma S, Chen B, Cai C, He J, et al. Inter-host transmission of Carbapenemase-producing Escherichia coli among humans and backyard animals. Environ Health Perspect 2019.

  • Zou H, Zhou Z, Xia H, Zhao Q, Li X. Characterization of chromosome-mediated blaOXA-546-like in Shewanella xiamenensis isolated from pig wastewater. Int J Environ Res Public Health 2019.

Partner Organizations

  • China Agricultural University
  • Karolinska Institutet, Sweden
  • Linköping University, Sweden
  • National Food Agency, Sweden
  • National Veterinary Institute, Sweden
  • Public Health Agency of Sweden
  • Shandong Academy of Agricultural Science, China
  • Shandong Center for Disease Control and Prevention, China
  • Shandong University, China
  • Zhejiang University, China