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The global antibiotics market size was USD 37.35 billion in 2020. The market is projected to grow from USD 38.08 billion in 2021 to USD 45.30 billion in 2028 at a CAGR of 2.5% during the 2021-2028 period. The global impact of COVID-19 has been unprecedented and staggering, with antibiotics witnessing a negative impact on demand across all regions amid the pandemic. Based on our analysis, the global market exhibited a negative growth of -13.74% in 2020 as compared to the average year-on-year growth during 2017-2019. The rise in CAGR is attributable to this market’s demand and growth, returning to pre-pandemic levels once the pandemic is over.
There is a gradual decline in the consumption of the product especially in the United States, Canada, and European countries. This is primarily due to the rising emphasis of regional and national government agencies and non-profit organizations towards reducing the burden of antimicrobial resistance caused due to the overuse of these drugs.
Several government agencies and regional healthcare organizations are taking initiatives to restrict the overuse and misuse of antibiotics in these countries.
However, there is a marked increase in the consumption of these drugs in developing countries including China, India, and countries in the Middle East & Africa. The rising prevalence of infectious diseases and the growing preference of healthcare providers towards oral drugs in these countries are leading to the higher consumption of these drugs in these countries. This, combined with the increasing number of hospital admissions and the growing focus of healthcare agencies towards the reduction of hospital acquired infections in these countries, is driving the demand for these drugs.
This, combined with the surging collaborations between leading organizations and key players for the development of broad spectrum antibiotics is driving the growth of the market.
Such new initiatives and collaborations are projected to contribute to the overall market growth.
Market to Witness a Negative Impact Owing to Declining Prescribing Practices across Healthcare amid COVID-19 Pandemic
The market witnessed negative growth in terms of revenues in 2020, owing to the impact of COVID-19 on various segments. The outbreak of COVID-19 has had an adverse impact on the market. The Centers for Disease Control and Prevention (CDC) monitored the effects of the COVID-19 pandemic on antibacterial drugs prescribing practices across the healthcare sector. Changes in prescribing habits have been observed during the pandemic due to the healthcare access changes.
Amid the COVID-19 pandemic, patients avoided visiting healthcare settings for non-urgent medical needs. Also, the lower overall bacterial infection rates due to school closures and social distancing played crucial roles in hindering the market growth in 2020. Additionally, key players have reported a decline in their revenues from the sales of antibacterial drugs during the COVID-19 pandemic.
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Rigorous R&D Activities to Develop Advanced Combination Therapies to Treat Antibiotic-resistant Infections is a Vital Trend
Due to the rising awareness about antibiotic-resistant infections, biopharmaceutical companies are focusing on developing advanced combination therapies. For instance, in 2021, Allecra Therapeutics GmbH is developing cefepime/enmetazobactam to address the critical resistance issues. Cefepime/enmetazobactam has completed a pivotal Phase III trial (ALLIUM) in Complicated Urinary Tract Infections (cUTI).
Additionally, in September 2018, a group of UCLA biologists worked with eight antibiotics and analyzed how every possible four and five drug combination, including many with varying dosages, led to 18,278 combinations in all, and all worked against E. coli. They anticipated that few of the combinations would be very efficient at killing the bacteria.
Such alignments will definitely open numerous opportunities and foster the global antibiotics market growth during the forecast period.
Rising Prevalence of Bacterial Infections to Propel the Market Growth
The increasing prevalence of several bacterial infections across the globe is one of the major factors supporting the growth of the market. Bacterial infections include Urinary Tract Infection (UTI), respiratory infections, tuberculosis, skin infections, and others. The global burden of bacterial infections is increasing and is projected to become the most common cause of years of life lost globally by 2050. A Urinary Tract Infection (UTI) is an infection in any section of the urinary system, i.e., kidneys, urethra, ureters, and bladder.
Moreover, the increasing demand for innovative treatment options has led to a surge in the R&D spending of pharmaceutical companies to develop therapeutically effective antibacterial drugs, along with a focus on strengthening the supply chain through the adoption of digital technologies.
Surging Antimicrobial Resistance to Restrict Market Growth
The prolonged use of various antibacterial drugs such as broad-spectrum antibiotics has augmented the antimicrobial resistance (AMR) among patients. The misuse and overuse of antimicrobials are the main drivers in the development of drug-resistant pathogens
This has led to the increasing number of healthcare agencies taking various initiatives to restrict the excessive and unwanted use of antibacterial drugs. For instance, in 2016, the Global Antibiotic Research and Development Partnership (GARDP) was created by WHO and DNDi to deliver on the Global Action Plan on Antimicrobial Resistance.
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Penicillin Segment to Hold Major Portion of the Market
Based on the drug class, the global market is segmented into penicillin, cephalosporin, aminoglycosides, tetracycline, macrolides, fluoroquinolones, sulfonamides, and others.
The penicillin segment held the dominant share of the global market in 2020 due to its increased sales for numerous bacterial infections. Additionally, the rising usage of penicillin’s in several developing and developed countries would contribute to the high share of the segment.
According to the Organization of Economic Co-operation and Development (OECD), countries such as Hong Kong, South Korea, Spain, Italy, and others demonstrated a comparatively higher consumption of broad spectrum and narrow spectrum penicillin, as compared to other drug classes.
The cephalosporin segment is anticipated to expand at a higher CAGR during the forecast period. This growth is attributable to the higher investments in the manufacturing of therapeutically effective drugs for bacterial infectious diseases such as ear infections, skin infections, upper respiratory tract infections, urinary tract infections, and others. Additionally, the high usage of cephalosporin’s in developed countries would contribute to the surging growth of the market. According to the Center for Disease Dynamics, Economics & Policy, developed countries such as Japan have high consumption of cephalosporin, as compared to other antibacterial drugs.
Macrolides, tetracycline, fluoroquinolones, and other drug classes have shown marked variations in preference among healthcare providers in different countries. According to The European Statistical Advisory Committee (ESAC), the consumption of tetracycline’s (in daily defined doses per 1,000 inhabitants) in Italy, Spain, and Germany was comparatively lower (around 5% to 15% of the total consumption). This was markedly different from the consumption of this class in France and the U.K. (from 15% to 25% of the total consumption).
Rising Prevalence of Respiratory Infections is Attributed to Higher Share of the Segment
Based on application, this market is classified as skin infections, respiratory infections, urinary tract infections, septicemia, ear infection, gastrointestinal infections, and others.
The respiratory infections segment held the dominating share in 2020. This higher share is attributable to the growing incidence rate of several respiratory infections leading to the demand for effective products for treatment.
The rising demand for drugs to treat these diseases is anticipated to boost the segmental growth.
Furthermore, the urinary tract infections (UTI) application segment is anticipated to hold the second-highest share of the market.
Moreover, the skin infections and gastrointestinal infections segments captured considerable market share in 2020 and are projected to secure an increased market share by the end of 2028. Potential pipeline candidates in clinical trials are anticipated to boost growth of the segment during the forecast timeframe. For instance, companies such as Helperby Therapeutics Ltd., have potential candidates in R&D for the treatment against bacterial skin infections.
High Share of the Parenteral Route of Administration Attributed to an Increasing Incidence of Hospital Acquired Infections (HAIs)
Based on the route of administration, the global market is classified as oral, parenteral, and others.
The parenteral segment dominated the global market in 2020. The increasing technological advancements and precise dosage delivery of these drugs through syringes are expected to surge the demand for the parenteral route of administration during the forecast period.
Furthermore, the higher CAGR of the parenteral segment is attributed to the gradually increasing number of inpatient admissions in hospitals globally. This, along with the rising average length of stay (LOS) in these settings is leading to the higher number of patients suffering from hospital acquired infections globally.
The Centers for Disease Control and Prevention (CDC), World Health Organization (WHO), National Health Service (NHS), and other agencies have established guidelines for the management of HAIs, which suggests the use of parenteral drugs as prophylaxis for HAIs. These factors are anticipated to boost the parenteral segment during the forecast period.
On the other hand, the oral segment holds a significant share of the market. The increasing number of patients opting for the self-administration of drugs is the prominent factor projected to boost the segmental growth during the forecast period.
Online Pharmacies Segment to Exhibit High Growth in the Near Future
The global market is segmented into hospital pharmacies, retail pharmacies, and online pharmacies based on distribution channels.
Large patient populations tend to prefer treatment in hospitals. Also, the increasing number of specialized hospitals are the key factors anticipated to have an impact on the growth of the hospital pharmacies segment during the forecast period. The segment held the dominating share in 2020.
Drastic growth in online delivery and purchase of medicines is projected to be observed in the forecast timeframe due to the increased adoption of advanced technology by middle-income countries. The pandemic crisis has contributed heavily to the preference of online pharmacies over retail. Therefore, it is anticipated to boost the growth of the segment during the forecast period.
North America Antibiotics Market Size, 2020 (USD Billion)
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On the basis of region, the global market can be segmented into North America, Europe, Asia Pacific, Latin America, and the Middle East and Africa.
The market in North America stood at USD 16.81 billion in 2020 and is anticipated to continue to dominate the global market during the forecast period. The augmented inclination of key players to introduce new products in developed countries of North America is a key factor driving the growth of the market in the region.
Thus, the novel launch of effective products is likely to aid growth of the market in this region.
Europe is anticipated to be the second-most dominant region in terms of market share. The prompt development of healthcare infrastructure in several European countries, the increasing investment in research and development activities, and the rising number of hospitals in the region are the key aspects driving the demand for these drugs in the European market.
The market in Asia Pacific is estimated to grow at the highest CAGR. China and India are set to showcase a rise in antibiotics consumption.
Moreover, the rising healthcare expenditure in the region is prominently expected to support the higher usage of these drugs during the forecast period.
Latin America and the Middle East & Africa are projected to account for insignificant market revenue share during the forecast period. The emerging healthcare sector and the increasing awareness about several bacterial infections are expected to augment growth of the market in these regions during 2021-2028.
Pfizer Inc., Abbott Laboratories, Novartis AG, and Merck & Co., Inc. are Key Players in the Market
This market is fragmented with players, such as Pfizer Inc., Abbott Laboratories, Novartis AG, and Merck & Co., Inc. accounting for a substantial share in 2020. The top market players are focusing on strategies, such as acquisitions, collaborations, and new product developments and launches to strengthen their positions globally.
Other key players with an important presence in the global market include GlaxoSmithKline plc, Sanofi, Astellas Pharma Inc., Johnson & Johnson Services, Inc., Bayer AG, and Bristol-Myers Squibb Company. These companies are anticipated to focus on new product launches to increase their market share during the forecast period.
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The global market report provides detailed industry analysis and focuses on key aspects, such as an overview of the advanced product, the rising number of several bacterial infections, key countries, and pricing analysis. Additionally, it includes an overview of reimbursement scenarios for treatment, key industry developments such as mergers, partnerships, & acquisitions, the impact of COVID-19 on the market, and brand analysis. Besides these, it offers insights into the antibiotics market trends and highlights key industry developments. In addition to the aforementioned factors, it encompasses several factors that have contributed to the growth of the market over recent years. The report also covers regional analysis of different segments.
Value (USD billion)
Drug Class, Application, Route of Administration, Distribution Channel, and Region
By Drug Class
By Route of Administration
By Distribution Channel
Fortune Business Insights says that the global market size was USD 37.35 billion in 2020 and is projected to reach USD 45.30 billion by 2028.
In 2020, market value in North America stood at USD 16.81 billion.
Registering a CAGR of 2.5%, the market will exhibit steady growth in the forecast period (2021-2028).
The penicillin segment is expected to lead this market during the forecast period.
The rising prevalence of bacterial infections is the major factor driving the growth of the market.
Pfizer Inc., Abbott Laboratories, Novartis AG, and Merck & Co., Inc. are some of the major players in the global market.
North America dominated the market in terms of share in 2020.
The increasing use of antibiotics in developing countries and the rising prescriptions around the globe are expected to drive the adoption of the products.
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