Turns out the US healthcare system actually has an advantage for once: people can’t misuse antibiotics if they can’t afford them in the first place.
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Antibiotics are very cheap, even without insurance. US doctors (unlike what I experienced in Europe) don't prescribe antibiotics left and right and only when they diagnose bacterial infection.
In Europe many doctors frequently prescribe antibiotics when coming to the doctor with cold symptoms.
I guess it depends. They're not that trendy here in Germany. In fact I think the last time I got some was 15 years ago when I cought lymphatic tract inflammation after getting bitten by an insect. Since this was most likely a bacterial infection that can lead to sepsis. No antibiotics since then. So from experience I'd say they're not prescribed just because.
The other problem is that basically the same amount of antibiotics is used for livestock. And this was a way bigger percentage about 15 years ago.
Most antibiotics are actually super cheap here. Yeah, not much else is.
The report in question:
https://www.ecdc.europa.eu/sites/default/files/documents/antimicrobial-consumption-ESAC-Net-annual-epidemiological-report-2023_0.pdf
And the data on usage:
Very interesting graph. It clearly shows a reduced antibiotic consumption during the corona pandemic in most countries. Probably due to the use of facemasks reducing the number of situations requiring antibiotics.