The burden of antimicrobial resistance in the Americas in 2019: a cross-country systematic analysis.

18 In the USA, as many as 30% of antibiotic prescriptions are deemed medically unnecessary, 41 and over the past two decades there has been an increasing trend in national antibiotic consumption rates for most countries in Latin America. 42 Although data on antimicrobial sales for human health remain scarce in the Americas, several countries (such as Bolivia, Brazil, Costa Rica, Paraguay, and Peru) have already provided valuable data for the 2016–2018 WHO

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