33 Trends in antibiotic selection pressure generated in primary care and their association with sentinel antibiotic resistance patterns in Europe 2 Figure 3. Antibiotic spectrum index for primary care *Spain saw a strong ostensible increase in prescription from 2016 onwards. However, this was due to the reporting of only reimbursement data until 2015, whereas figures from 2016 on were based on sales data (11). Figure 4. Antibiotic Spectrum Index for primary care and hospital care for the year 2020 *United Kingdom is not included due to missing data on the year 2020.
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