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. 2020 Sep 25;9(10):643. doi: 10.3390/antibiotics9100643

Table 2.

Average, yearly antibiotic consumption in 30 European countries for 1997–2018 (22 years) derived from the ECDC yearly reports. Total antibiotic consumption for systemic use (J01), expressed as defined daily dose (DDD)/1000 inhabitants/day (DID). Other classes of antibiotics at ATC Level 3 and 4 (for the penicillin group/J01C/) consumed has been featured as the relative share of the total consumption and estimated in percentage (%).

Antibiotic Consumption ECDC 1997–2018 100% J01 (DID) J01A (%) J01C (%) J01CA (%) J01CR (%) J01CA+CR (%) J01CE (%) J01CF (%) J01CE+CF (%) J01D (%) J01F (%) J01M (%) J01 B/N 2018
Austria 12.12 9.21 35.74 6.92 20.7 27.54 8.23 0.07 8.3 13.14 26.71 11.56 6.62
Belgium 21.96 11.33 40.07 17.3 21.03 38.31 0.44 1.17 1.6 11.12 14.63 10.79 122.41
Bulgaria 17.39 13.34 37.45 23.45 9 32.46 5.07 0.1 5.16 14.71 14.28 11.18 49.6
Croatia 18.59 7.9 42.19 13.58 22.7 36.28 5.73 0.16 5.9 17.72 15.06 8.35 11.94
Cyprus 26.95 11.76 35.17 11.34 23.58 34.93 0.34 0.09 0.43 21.53 11.61 16.27 37.96
Czech Republic 15.01 15.12 36.71 6.66 13.03 22.36 12.76 0.43 13.19 8.29 19.89 7.36 no data
Denmark 14.18 9.84 62.59 19.01 2.51 21.34 33.53 7.5 41.03 0.2 14.9 3.37 0.59
Estonia 10.41 20.8 32.88 20.29 9 29.3 2.44 0.06 2.5 9.42 19.39 8.07 15.95
Finland 16.79 23.89 29.75 15.87 4.5 20.37 9.23 0.4 9.62 13.85 10.35 5.31 0.48
France 24.88 13.04 44.13 26.85 15.74 41.6 0.72 1.46 2.17 11.37 16.61 7.87 37.16
Germany 12.9 20.99 27.39 16.65 2.38 19.03 8.5 0.11 8.61 16.82 19.02 9.94 6.53
Greece 30.42 8.26 27.81 13.44 12.79 26.17 1.62 0.01 1.63 24.59 27.75 8.92 624.04
Hungary 14.96 10.68 35.96 10.26 21.1 31.36 4.59 0 4.59 14.28 20.77 12.64 68.27
Iceland 19.47 25.46 48.23 17.47 11.58 29.06 12.99 5.95 18.94 2.57 8.19 4.19 1.53
Ireland 18.25 2.8 44.98 14.84 18.88 33.73 5.05 5.98 11.04 8.49 18.9 5.01 4.45
Italy 22.01 10.65 42.45 16.45 25.53 41.99 0.05 0.07 0.12 12.7 21.78 14.75 226.82
Latvia 10.58 22.15 38.1 26.4 10.9 37.31 0.93 0.02 0.95 4.87 13.1 9.5 19.67
Lithuania 15.89 10.6 48.14 31.75 8.46 40.22 7.63 0.41 8.04 9 12.04 6.74 7.79
Luxembourg 23.01 9.94 34.97 13.42 20.04 33.33 0.42 0.87 1.29 18.62 18.17 10.96 68.22
Malta 18.83 6.53 33.5 3.15 30.26 33.42 0.39 0.27 0.66 23.24 20.58 11.55 80.32
Netherlands 9.34 25.57 32.12 13.72 10.44 24.17 4.06 3.65 7.72 0.6 14.74 9.18 20.25
Norway 15.3 19.38 40.57 12.83 0 12.68 24.16 3.42 27.58 1.02 10.92 3.42 0.16
Poland 18.77 14.46 33.7 20.94 12.03 32.33 2.21 0.11 2.32 12.78 18.23 6.82 25.48
Portugal 18.34 5.74 42.35 11.9 27.67 39.57 0.16 3.21 3.38 12.67 17.48 14.25 50.82
Romania 24.14 4.1 47.17 18.12 23.19 41.32 3.1 2.6 5.71 19.03 11.51 13.06 18.44
Slovakia 21.52 8.56 39.41 10.5 15.14 25.62 13.46 0.08 13.54 16.87 22.06 8.93 11.15
Slovenia 13.19 4.06 55.4 16.6 21.78 23.52 15.66 1.1 16.76 3.83 19.39 9.89 3.12
Spain 17.26 5.79 51.11 20.62 28.44 49.07 0.58 1.28 1.86 11.25 14.7 13.8 56.33
Sweden 13.81 22.01 47.45 7.59 1.3 8.17 28.68 9.53 38.21 2.32 5.5 6.23 0.21
United Kingdom 15.259 25.78 38.397 21.37 4.95 26.32 4.859 7.149 12.008 3.965 17.298 3.622 1.77

ATC codes: J01A—tetracycline; J01C—penicillin; J01CA—broad-spectrum, beta-lactamase sensitive penicillin; J01CR—broad-spectrum penicillin combined with beta-lactamase inhibitors; J01CE—narrow-spectrum, beta-lactamase sensitive penicillin; J01CF—narrow-spectrum, beta-lactamase-resistant penicillin; J01D—cephalosporin; J01F—macrolide; J01M—quinolone; J01 B/N—ratio of broad-spectrum and narrow-spectrum antibiotics.