1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Country AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC

Austria R R R R R R R R R R R R R R R R

Belgium R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R

Bulgaria S* S* S* S* S* S* S* S S S S S S S S S S S S S S S S

Croatia S S S S S S S S S S S S S S S S S S S S S R S R R R R R

Cyprus S* S* S* S* S* S* S* S*

Czech Republic R R R R R R R R R R R R R R

Denmark S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S

Estonia S* S S S S S S S S S S S S S S S S S S S S S S S S

Finland S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S

France S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S B B

Germany R R R R R R R R R R R R R R R R R R R R

Greece S S S S S S S S S S S S S S S* S S* S* S* S* S S S* S S S S S S

Hungary R R R R R R R S S S S S S S S S S R R R R S S S S S S S S

Iceland S* S* S* S* S* S* S* S* S* S S S S S* S* S* S*

Ireland S S S S S S S S S S S S S S S S S S B S B S B S B

Italy B B B B B B B R B B R B R B B R S R S R B R

Latvia S S S S S S S S S S S S S S S S S S S S S S

Liechtenstein

Lithuania S* S* S* S* S* S* S S S S

Luxembourg R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R

This report has been generated from ESAC-Net data submitted to TESSy, The European Surveillance System on 2015-10-19. The report reflects the state of submissions in TESSy as of 2015-10-19 at 17:31

1 / 2

General comments for comparison of antimicrobial consumption data from different countries and/or years:Total care includes data both from the hospital sector and the community (primary care sector) and overestimates the figures when used for reporting for the community sector.This report indicates for each country and for each year the type of data reported, either reimbursement, sales or both data together.Reimbursement data do not include consumption of antimicrobials obtained without prescription and other non-reimbursed courses compared to sales data.The extent of consumption not included when using reimbursement data may vary by country. For more information please see: Safrany N, Monnet DL. Antibiotics obtained without a prescription in Europe.Lancet Infect Dis. 2012 Mar;12(3):182-3 and refer to the annual ESAC-Net reports (www.ecdc.europa.eu)

Data source overview of antimicrobial consumption

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Country AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC AC HC

Malta S S S S S S S S S S S S S S S S S S S S S S S S

Netherlands S S S S S S S S S S S S S S S S S S S S B S S S S S S

Norway S S S S S S S S S S S S S S S S S S S S B B B B B B B B

Poland R R R R R R R R R R R R R R R R R R R R S S

Portugal S S S S S S S S S S S S S S R B S B S B R B

Romania R S S* S* S*

Slovakia S S S S S S S S S S S S S S S S S S S S S S S* S S

Slovenia B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B R

Spain R R R R R R R R R R R R R R R R R

Sweden S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S

United Kingdom R R R R R R R R R R R R R R R R R

Total S, % 57 70 50 66 50 66 54 69 58 66 57 66 60 68 61 72 61 75 60 81 59 77 56 70 54 83 51 50 60 57 60 60 51 52

Total R, % 35 20 45 25 40 25 36 23 33 26 34 27 32 25 30 22 30 18 33 12 34 16 37 23 39 11 38 22 33 21 33 20 36 26

Total B, % 7 10 5 8 9 8 9 7 8 6 7 5 8 6 7 5 7 6 6 6 6 5 6 5 6 5 9 27 6 21 6 20 12 21

Sectors: AC: community (primary care sector); HC: hospital sector; * Country provided only total care data, however, these data reported as total care are used for comparisons with the community (primary care sector); Type of data: S: sales data; R: reimbursement data; B: both.

This report has been generated from ESAC-Net data submitted to TESSy, The European Surveillance System on 2015-10-19. The report reflects the state of submissions in TESSy as of 2015-10-19 at 17:31

2 / 2

General comments for comparison of antimicrobial consumption data from different countries and/or years:Total care includes data both from the hospital sector and the community (primary care sector) and overestimates the figures when used for reporting for the community sector.This report indicates for each country and for each year the type of data reported, either reimbursement, sales or both data together.Reimbursement data do not include consumption of antimicrobials obtained without prescription and other non-reimbursed courses compared to sales data.The extent of consumption not included when using reimbursement data may vary by country. For more information please see: Safrany N, Monnet DL. Antibiotics obtained without a prescription in Europe.Lancet Infect Dis. 2012 Mar;12(3):182-3 and refer to the annual ESAC-Net reports (www.ecdc.europa.eu)

Data source overview of antimicrobial consumption