resistance_map_inforgraphic_9
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966prescriptions per1,000 people
1999
ANTIBIOTIC USE AND RESISTANCE AT A GLANCE: 1999–2010
THE COMPOSITION OF ANTIBIOTIC USE IS CHANGINGAlthough the number of prescriptions per capita decreased, there has been a shift towards newer, more powerful antibiotic classes.
COMMON INFECTIONS ARE BECOMING MORE DRUG-RESISTANTUrinary tract infections are harder to treat with currently available antibiotics, while skin infections are responding to new therapies.
For more information, visit us at WWW.CDDEP.ORG/RESISTANCEMAPAntibiotic The statements, findings, conclusions, views, and opinions contained and expressed herein are based in part on data obtained under license from the following IMS Health Incorporated information service: Xponent™, January 1999–December 2010, IMS Health Incorporated.All rights reserved. Such statements, findings, conclusions, views, and opinions are not necessarily those of IMS Health Incorporated or any of its affiliated or subsidiary entities.
8%
8%
12%
14%
27%
31%
8%
7%
9%
18%
22%
36%
Penicillins Macrolides Cephalosporins Fluoroquinolones Tetracyclines Tmp-smx
Urinary Infections Skin Infections
In addition to using currently available antibiotics responsibly, we urgently need to develop new drugs to treat the types of infections that are becoming harder to treat.
The relative increase in the use of antibiotics with a broader spectrum such as fluoroquinolones or macrolides is troubling because it accelerates the rise of bacterial resistance.
Time
Dru
g Re
sista
nce
Inde
x
801prescriptions per1,000 people
2010
www.cddep.org/resistancemap
THERE ARE LARGE DIFFERENCES IN PRESCRIBING ANTIBIOTICS STATE-BY-STATEIn 2010 states in the East South Central region filled over twice as many prescriptions per capita as Pacific states. How does your state compare?
Prescriptions per 1,000 people
1100–1199 1000–1099 900–999 800–899 700–799 600–699 500–599
KY TN LA AK KS ND MO MI RI OH OK IA IL CT MA PA MD AZ FL MN ME MT NH WA CA AK
WV MS AL DC IN NE DE SC NJ TX GA NY SD NC UT VA WY WI NM ID NV VT CO OR HI
510
1,19
61,
177
1,15
91,
136
1,12
21,
079
1,02
097
696
195
695
093
593
292
190
688
087
987
587
486
785
485
285
184
083
683
482
181
880
179
779
078
776
875
874
473
271
570
668
967
967
765
463
763
662
661
961
157
155
655
454
3
National Average
THERE ARE LARGE DIFFERENCES IN PRESCRIBING ANTIBIOTICS STATE-BY-STATEIn 2010 states in the East South Central region filled over twice as many prescriptions per capita as Pacific states. How does your state compare?
DECREASE IN PRESCRIBING WAS NOT UNIFORM ACROSS STATESWidening regional gap: East South Central states are making little progress.
2 to –6 –7 to –15 –16 to –24 –25 to –33
Percent change in use (1999–2010)
National Average –17%
NM
CO
WA
OR
AZ
TX
OK
KS
UTNV
CA
ID
MT ND
SD
NE
MN
IA
MO
AR
MS AL
LA
FL
GA
TN
WI
IL INOH
MI
KY
NYWY
PA
VA
NC
WV
SC
AK
HI
NH
VT
ME
VA NJ
CT
RI
MA
DE
MD
DC
(Bactrim)(Doxy)(Cipro)(Keflex)(Z-pack)(Amoxil)