Oct 10, 2025
๐ The 35 Countries With the Highest Antibiotic Use

Key Takeaways
- Iran has the highest rate of antibiotics use, last measured at 68 defined daily doses per 1,000 inhabitants (DDD) in 2022.
- A DDD is a typical adultโs one-day treatment (for a drugโs main use).
- A recent study found that nearly half of all hospital antibiotic prescriptions in Iran are considered irrational (not medically justified).
- Self-medication remains a major driver of antibiotic misuse, fueling the worldโs highest rates of antimicrobial resistance.
- In comparison, the U.S. DDD stood at 22 (*from a different source), and Germany at 10.
- Wide disparities in antibiotics volumes suggest both overuse in some regions (raising antibiotic resistance concerns) and potential underuse in others (suggesting inadequate access to essential medicines).
- Visit the dataset tab for antibiotics use for all countries collected by the source.