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The State of the World’s Antibiotics in
2018
Ella Pringle LectureRoyal College of Physicians of Edinburgh
Ramanan LaxminarayanTwitter @CDDEP
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Northern Regions
Free State
Western and Northern Cape
Eastern Cape
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Northern Regions
Free State
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Eastern Cape
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2011 2012
2013 2014
Resistance rate
No data
Northern Regions
Free State
Western and Northern Cape
Eastern Cape
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Northern Regions
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Western and Northern Cape
Eastern Cape
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Number of additional infections per year in the USA under a 30% decreased efficacy of antibiotic prophylaxis
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Antibiotic consumption is increasing in developing countries...
Source: Based on data obtained under license from IMS Health MIDAS ™ (January 2005-December 2010); IMS Health Incorporated. All Rights Reserved.
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Per capita total antibiotic use, retail sector, 2005-2010
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Antibiotic use per capita by income in selected countries, 2010
Source: Van Boeckel et al. 2014 (based on IMS MIDAS) and World Bank 2015
Carbapenem retail sales in selected countries, 2005–2010 (per 1,000 population)
Source: Laxminarayan et al. 2013 (based on IMS MIDAS)
*An IMS grouping of Benin, Burkina Faso, Cameroon, Côte d’Ivoire, Gabon, Guinea, Mali, Republic of the Congo, Senegal, and
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Hospital use of carbapenems is rapidly growing
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Developed world cost per course of therapy
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Bayer
Roche
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Branded product only
Generic product available
Price/full course of therapy
Notes: *Chloramphenicol is not available in developed world—price is therefore estimated. †Ceftriaxone and ciprofloxacin may be available in some tertiary settings in developing world.Source: The Medical Letter (2006), Disease control priorities in developing countries, Lancet (2006), Expert
interviews.
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$1,480
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$39
$121
$145
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Thank you
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