eTable 2. Development of antibiotic use density (defined daily doses/1000 patient days) in intensive care units (N = 77) from 2001 to 2015.
ATC code | Antibiotic/group | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 |
J01 | Total incl sulbactam | 1225 | 1296 | 1346 | 1291 | 1283 | 1383 | 1378 | 1311 | 1424 | 1396 | 1436 | 1455 | 1402 | 1380 | 1412 |
J01 | Total excl sulbactam | 1180 | 1166 | 1200 | 1138 | 1132 | 1193 | 1203 | 1167 | 1258 | 1279 | 1353 | 1412 | 1399 | 1380 | 1407 |
J01CE | β-Lactamase susceptible penicillins | 20 | 21 | 25 | 30 | 21 | 23 | 20 | 17 | 19 | 20 | 19 | 18 | 15 | 23 | 23 |
J01CA | Extended spectrum penicillins | 74 | 101 | 111 | 102 | 99 | 101 | 103 | 82 | 89 | 67 | 61 | 48 | 33 | 36 | 36 |
J01CF | β-Lactamase-resistant penicillins | 38 | 40 | 48 | 50 | 44 | 37 | 45 | 41 | 42 | 25 | 32 | 34 | 34 | 50 | 56 |
J01CG | β-Lactamase inhibitor (BLI) | 44 | 129 | 147 | 153 | 151 | 190 | 175 | 145 | 166 | 117 | 83 | 43 | 3 | 0 | 5 |
J01CR | Combination of penicillins with BLI | 206 | 174 | 161 | 146 | 151 | 158 | 160 | 145 | 136 | 161 | 194 | 227 | 263 | 268 | 262 |
J01CR25 | – Piperacillin/tazobactam | 42 | 33 | 26 | 24 | 39 | 40 | 42 | 45 | 50 | 71 | 87 | 105 | 122 | 136 | 146 |
J01DB | 1st generation cephalosporins | 47 | 47 | 42 | 39 | 33 | 39 | 33 | 28 | 34 | 29 | 35 | 38 | 36 | 38 | 33 |
J01DC | 2nd generation cephalosporins | 113 | 118 | 130 | 112 | 96 | 94 | 98 | 95 | 95 | 93 | 93 | 88 | 91 | 75 | 80 |
J01DD | 3rd generation cephalosporins | 106 | 109 | 108 | 107 | 109 | 124 | 112 | 112 | 123 | 118 | 115 | 109 | 98 | 91 | 91 |
J01DE | 4th generation cephalosporins | 2 | 3 | 2 | 6 | 12 | 11 | 10 | 4 | 4 | 4 | 5 | 15 | 13 | 5 | 6 |
J01DH | Carbapenems | 76 | 79 | 88 | 82 | 96 | 120 | 133 | 143 | 168 | 184 | 214 | 231 | 233 | 246 | 250 |
J01DH02 | – Meropenem | 29 | 36 | 51 | 47 | 47 | 60 | 62 | 72 | 85 | 105 | 147 | 162 | 175 | 200 | 211 |
J01DH21 | – Imipenem | 47 | 43 | 38 | 35 | 46 | 53 | 63 | 62 | 74 | 73 | 62 | 65 | 53 | 43 | 37 |
J01XA | Glycopeptides | 38 | 36 | 38 | 35 | 39 | 40 | 38 | 36 | 46 | 62 | 54 | 57 | 59 | 62 | 57 |
J01MA | Fluoroquinolones | 151 | 140 | 145 | 155 | 166 | 172 | 169 | 165 | 171 | 172 | 185 | 184 | 160 | 152 | 157 |
J01E | Sulfonamides and trimethoprim | 29 | 36 | 38 | 17 | 20 | 17 | 20 | 26 | 25 | 22 | 20 | 34 | 32 | 41 | 40 |
J01AA | Tetracyclines | 8 | 9 | 8 | 12 | 10 | 10 | 11 | 8 | 12 | 14 | 8 | 10 | 8 | 9 | 9 |
J01FA | Macrolides | 77 | 70 | 80 | 72 | 70 | 75 | 83 | 89 | 106 | 108 | 111 | 106 | 110 | 99 | 104 |
J01FF | Lincosamines | 25 | 25 | 26 | 24 | 26 | 25 | 21 | 24 | 25 | 23 | 27 | 23 | 22 | 23 | 24 |
J01G | Aminoglycosides | 86 | 68 | 45 | 46 | 41 | 30 | 28 | 25 | 27 | 28 | 27 | 26 | 24 | 24 | 22 |
J01GB03 | – Gentamicin | 38 | 28 | 22 | 22 | 23 | 17 | 17 | 16 | 12 | 13 | 12 | 10 | 10 | 12 | 11 |
J01XB | Polymyxines | 2 | 3 | 2 | 2 | 0 | 0 | 0 | 0 | 8 | 9 | 12 | 13 | 15 | 1 | 2 |
J01XD | Imidazole derivatives | 70 | 59 | 68 | 64 | 59 | 67 | 60 | 51 | 48 | 46 | 47 | 48 | 46 | 42 | 42 |
J01A | Tuberculostatic drugs | 5 | 6 | 10 | 6 | 7 | 5 | 7 | 16 | 14 | 11 | 15 | 14 | 16 | 23 | 27 |
J01XX | Other antibiotics | 8 | 23 | 23 | 31 | 33 | 44 | 52 | 59 | 67 | 82 | 79 | 90 | 90 | 72 | 85 |
J01XX | – Fosfomycin | 4 | 10 | 7 | 8 | 6 | 6 | 5 | 8 | 9 | 13 | 4 | 10 | 11 | 9 | 13 |
J01XX | – Linezolid | 0 | 10 | 13 | 20 | 24 | 31 | 27 | 32 | 35 | 35 | 45 | 42 | 42 | 33 | 38 |
J01AA12 | – Tigecyclin | 0 | 0 | 0 | 0 | 0 | 4 | 14 | 13 | 16 | 22 | 18 | 17 | 18 | 14 | 15 |
J01XX09 | – Daptomycin | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 3 | 4 | 10 | 9 | 19 | 16 | 15 | 18 |
Diverse | 3 | 4 | 4 | 3 | 5 | 5 | 3 | 2 | 2 | 3 | 2 | 1 | 2 | 1 | 1 |
DDD: defined daily doses (www.whocc.no/atc_ddd_index); total incl sulbactam: all antibiotics including sulbactam as individual preparation; total excl sulbactam: all antibiotics excluding sulbactam as individual preparation; ß-lactamase susceptible penicillins: benzylpenicillin, phenoxymethylpenicillin; extended spectrum penicillins: ampicillin, amoxicillin, mezlocillin, piperacillin; ß-lactamase-resistant penicillins: flucloxacillin, oxacillin; penicillin with ß-lactamase inhibitor (BLI): amoxicillin-clavulanic acid, ampicillin/sulbactam, piperacillin-tazobactam; 1st generation cephalosporins: cefazolin, cephalexin; 2nd generation cephalosporins: cefuroxime, cefotiam, cefaclor; 3rd generation cephalosporins: cefotaxime, ceftazidime, ceftriaxone, cefixime; carbapenems: imipenem, meropenem, ertapenem; glycopeptides: vancomycin, teicoplanin; fluoroquinolones: ciprofloxacin, ofloxacin, levofloxacin, moxifloxacin, norfloxacin; trimethoprim-sulfonamide: sulfamethoxazol, trimethoprim; tetracyclines: doxycyclin, minocyclin; macrolides: erythromycin, roxithromycin, clarithromycin, azithromycin; aminoglycosides: gentamicin, streptomycin, tobramycin, neomycin, amikacin, netilmicin; imidazoles: metronidazole; others: fosfomycin, linezolid, daptomycin, tigecyclin; diverse: antibiotics with fewer than 10 DDD/1000 patient days: monobactams, streptogramins, amphenicols, steroids, paromomycin, taurolidin, atovaquone, nitrofurantoin; ATC: anatomic-therapeutic-chemical classification system