복강내 감염증 시장 : 항생제 클래스별, 감염 유형별, 병원체 유형별, 환자 연령층별, 최종사용자별 - 세계 예측(2025-2032년)

The Intra-abdominal Infections Market is projected to grow by USD 49.70 billion at a CAGR of 9.20% by 2032.

Intra-abdominal infections represent a heterogeneous group of conditions that span simple localized inflammatory processes to complex, life-threatening polymicrobial sepsis. Clinicians confront a mix of community-acquired and hospital-acquired presentations that vary by source, host factors, and microbiology. As a result, early recognition and rapid source control remain the cornerstones of effective management, while antimicrobial selection must balance empiric breadth with de-escalation guided by culture and sensitivity data.

Diagnostic complexity stems from overlapping clinical presentations, variable culture yields, and evolving resistance patterns. Imaging, surgical assessment, and peritoneal cultures are critical, yet each has limitations that influence therapeutic timing. Concurrently, antimicrobial resistance among key pathogens has altered empirical therapy algorithms, prompting greater reliance on higher-tier agents and combination regimens in severe cases. These changes amplify the need for coordinated antimicrobial stewardship, multidisciplinary care pathways, and robust hospital surveillance to preserve therapeutic options and optimize outcomes.

Stakeholders across clinical, operational, and commercial domains must therefore align on priorities that include timely diagnostics, stewardship integration, and supply chain continuity. By understanding the clinical nuances and system pressures that drive treatment decisions, leaders can better design interventions that reduce morbidity, shorten hospital stays, and limit the collateral harm of unnecessary broad-spectrum antibiotic exposure.

Rapid Transformations Reshaping Clinical Practice, Diagnostics, and Supply Dynamics in Intra-abdominal Infection Management

The landscape of intra-abdominal infection management is undergoing rapid and consequential shifts driven by antimicrobial resistance, technological advances, and changes in care delivery models. Resistance trends are reshaping empiric prescribing patterns and elevating the clinical and economic value of agents with retained activity against multidrug-resistant Gram-negative organisms. Simultaneously, innovations in rapid diagnostics and molecular pathogen detection are beginning to shorten the interval between presentation and targeted therapy, enabling faster de-escalation when appropriate and reducing unnecessary exposure to broad-spectrum agents.

Care delivery transformations are equally impactful. Growth in ambulatory surgical centers and shifts toward earlier discharge and outpatient parenteral antimicrobial therapy have altered patient flows and medication utilization, requiring new coordination between inpatient teams and community providers. These transitions are compounded by evolving regulatory expectations for stewardship and reporting, which place a premium on measurable metrics and program accountability. As a result, stakeholders face a landscape where clinical efficacy, supply reliability, and stewardship compliance converge to determine both patient outcomes and organizational risk.

Taken together, these forces demand adaptive strategies that integrate novel diagnostics, stewardship protocols, and supply chain resilience while maintaining clinician autonomy in critical decision moments. Organizations that proactively align clinical pathways, procurement practices, and surveillance capabilities will be better positioned to manage complexity and sustain therapeutic options over the long term.

Anticipated Effects of United States Tariff Adjustments on Antibiotic Supply Chains, Hospital Procurement Practices, and Clinical Access in 2025

The policy environment surrounding trade and tariffs can materially influence the cost structure and availability of antimicrobial agents, manufacturing inputs, and medical supplies integral to intra-abdominal infection care. Changes to import duties and trade barriers alter manufacturing economics for active pharmaceutical ingredients and finished dosage forms, which in turn affect procurement strategies for hospitals and distributors. In practical terms, procurement teams may experience narrower supplier options, increased lead times, and higher acquisition costs for select intravenous antibiotics and parenteral formulations when tariffs disrupt established supply chains.

Clinicians and pharmacy leaders should anticipate secondary effects that manifest as alterations in hospital formularies and therapeutic guidelines. When sourcing constraints or price pressures exist, hospitals commonly reassess formulary inclusions and may substitute clinically equivalent agents or adjust stewardship policies to preserve critical stock. These operational responses require clear clinical governance to prevent unintended consequences such as suboptimal empiric coverage or inappropriate substitution in high-risk patients.

Moreover, manufacturers and contract manufacturers may respond to tariff-driven margin pressures by relocating production, redesigning supply agreements, or accelerating investments in regional manufacturing to mitigate exposure. Such strategic adaptations can improve long-term resilience but create short-term volatility. Therefore, cross-functional planning that combines procurement forecasting, inventory buffering, and continual clinical oversight is essential to maintain access and clinical integrity in the face of tariff-induced supply chain disruption.

Segment-Level Clinical and Commercial Insights Spanning Antibiotic Classes, Infection Presentations, Pathogen Profiles, Age Cohorts, and Healthcare Settings

A nuanced segmentation lens reveals how therapeutic choices, infection contexts, pathogen profiles, patient demographics, and care settings intersect to shape clinical and commercial dynamics. By antibiotic class, clinicians rely on carbapenems, cephalosporins, and penicillins to cover the broad spectrum of intra-abdominal pathogens. Within carbapenems, agents such as doripenem, ertapenem, imipenem/cilastatin, and meropenem are deployed based on pathogen suspicion, tissue penetration requirements, and resistance patterns. Cephalosporin use differentiates between third-generation options like cefotaxime and ceftriaxone and fourth-generation cefepime, each selected for specific Gram-negative coverage and central nervous system penetration when indicated. Penicillin-based combinations, including ampicillin/sulbactam and piperacillin/tazobactam, retain an important role for community-acquired polymicrobial infections and as empiric therapy in many institutional protocols.

Infection type segmentation between community-acquired and hospital-acquired presentations changes therapeutic imperatives. Community-acquired cases, subdivided into complicated and uncomplicated forms, often permit narrower empiric coverage when patients present without recent healthcare exposure. Conversely, hospital-acquired infections, whether associated with ICU care or post-surgical settings, demand broader empiric regimens because of increased risk of multidrug-resistant organisms. Pathogen-driven insight distinguishes anaerobic organisms such as Bacteroides fragilis and Clostridium species from Gram-negative pathogens including Enterobacteriaceae and Pseudomonas aeruginosa, and from Gram-positive agents like Enterococcus species and Staphylococcus aureus, each of which drives different empiric and definitive therapy choices and stewardship challenges.

Patient age group further modulates therapeutic decisions, as adult, geriatric, and pediatric populations present distinct pharmacokinetic and safety considerations that affect dosing, formulation selection, and monitoring. Finally, end user segmentation between ambulatory care centres and hospitals, with hospitals split into secondary and tertiary care, determines resource availability, access to advanced diagnostics, and procedural capabilities for source control. Collectively, these intersecting segments demand tailored clinical pathways, procurement strategies, and education programs to ensure that each patient cohort receives optimal, context-appropriate care.

Regional Treatment Patterns, Supply Chain Resilience, and Policy Variations Shaping Clinical Responses Across the Americas, Europe Middle East & Africa, and Asia-Pacific

Regional variation exerts a profound influence on clinical practice, supply chain logistics, and policy environments, shaping how providers and health systems approach intra-abdominal infections. In the Americas, treatment protocols and stewardship frameworks increasingly emphasize evidence-based empiric selection and the integration of rapid diagnostics in high-acuity centers, while supply chain consolidation and group purchasing organizations influence formulary decisions and pricing negotiations. These dynamics encourage coordination between clinical leaders and procurement to ensure consistent access to critical agents.

In Europe, Middle East & Africa, heterogeneity in healthcare infrastructure, regulatory oversight, and antimicrobial resistance profiles creates divergent priorities. High-resource centers may focus on rapid molecular diagnostics and advanced stewardship programs, whereas resource-constrained settings prioritize access to essential antibiotics, basic imaging, and surgical capacity. Policy-level interventions and regional collaborations play a larger role in supporting antimicrobial stewardship and addressing resistance surveillance in this diverse region.

Asia-Pacific presents a combination of high-volume clinical demand, rapid technological adoption, and varied domestic manufacturing capacity. Regional manufacturers can mitigate some supply disruptions, but demand pressures and resistance trends necessitate coordinated national strategies for stewardship and procurement. Across all regions, the interplay between regulation, manufacturing geography, and clinical practice determines both short-term operational choices and long-term resilience of supply and therapeutic options.

Competitive and Collaborative Company Landscape Highlighting Manufacturing Capacity, Diagnostic Innovation, and Strategic Partnerships in Anti-infective Care

The competitive landscape for therapies and services relevant to intra-abdominal infections is characterized by a mix of established pharmaceutical manufacturers, contract producers, diagnostic innovators, and clinical service providers. Established drug producers often focus on maintaining reliable supply lines, extending product lifecycles, and supporting stewardship initiatives through education and formulary support. Contract manufacturers and specialized sterile injectable plants play a pivotal role in ensuring availability of parenteral antibiotics, creating opportunities for strategic partnerships and capacity investments.

Diagnostic companies and hospital laboratory networks are increasingly influential, as rapid identification technologies and susceptibility platforms directly change prescribing behavior and reduce time to optimal therapy. Collaboration between diagnostic vendors and clinical leaders can yield pathway-level improvements that reduce inappropriate broad-spectrum use and speed targeted therapy. Additionally, service providers that support outpatient parenteral antimicrobial therapy and post-discharge monitoring are expanding the continuum of care, enabling earlier transition from inpatient settings without sacrificing safety.

Strategic alliances between pharmaceutical manufacturers, diagnostic firms, and healthcare systems can create integrated offerings that pair reliable antimicrobial supply with diagnostic stewardship. Such collaboration also supports joint efforts to address antimicrobial resistance through data sharing, formulary optimization, and targeted education for prescribers and care teams.

Actionable and Prioritized Recommendations for Healthcare Leaders to Improve Clinical Outcomes, Preserve Therapeutic Options, and Strengthen Supply Resilience

Healthcare leaders should adopt a set of practical, prioritized actions to strengthen clinical outcomes, maintain therapeutic access, and mitigate supply risks. First, align procurement and clinical governance by instituting regular cross-functional reviews of formulary choices, inventory exposure, and clinically acceptable therapeutic alternatives to ensure continuity in the face of supply variability. Second, accelerate adoption of rapid diagnostic tools and embed explicit de-escalation protocols into care pathways so that empiric broad-spectrum therapy is narrowed promptly when appropriate, reducing resistance selection pressure and conserving higher-tier agents.

Third, expand outpatient parenteral antimicrobial therapy frameworks and strengthen discharge coordination to reduce inpatient length of stay while maintaining safety. Fourth, implement tiered stewardship metrics that account for infection type, pathogen risk, and patient age to target education and audit efforts where they will have the greatest clinical impact. Fifth, engage manufacturers and contract manufacturers proactively through multi-year agreements, dual-sourcing where feasible, and contingency planning to alleviate tariff- or disruption-related scarcity. Finally, invest in workforce training that equips surgical teams, intensivists, pharmacists, and infectious disease specialists with the skills to execute rapid source control, optimized dosing, and coordinated follow-up care.

Taken together, these actions balance immediate operational resilience with long-term stewardship objectives, positioning organizations to deliver high-quality care while preserving therapeutic effectiveness.

Robust Mixed Methods Research Approach Integrating Primary Clinical Input, Real-world Operational Data, and Rigorous Secondary Evidence for Reliability

The research underpinning this executive summary uses a mixed-methods approach that integrates primary clinical inputs, facility-level operational data, and comprehensive secondary research to ensure robust, context-sensitive conclusions. Primary inputs were gathered through structured interviews and advisory discussions with clinicians across surgical, critical care, infectious disease, and pharmacy disciplines, complemented by procurement and supply chain professionals to capture operational realities. These firsthand perspectives informed scenario building around drug selection, stewardship practices, and supply contingencies.

Secondary research synthesized peer-reviewed literature, clinical guidelines, regulatory documents, and publicly available surveillance data from health authorities to ground findings in established evidence. Real-world data sources such as hospital utilization patterns, antimicrobial consumption records, and laboratory susceptibility reports were analyzed to identify practice variation and resistance trends. Where applicable, data triangulation validated qualitative insights against observable operational metrics.

Analytical methods included comparative clinical pathway mapping, sensitivity analysis of supply disruption scenarios, and stakeholder impact assessments to prioritize recommendations. Throughout the process, attention to data provenance, methodological transparency, and expert validation ensured that conclusions reflect clinical reality and operational feasibility.

Synthesis of Strategic Takeaways Emphasizing Clinical Imperatives, Operational Risks, and Opportunities for System-wide Improvement

This executive synthesis highlights a set of converging priorities: protect access to effective antimicrobials, accelerate diagnostic-driven therapy, and reinforce system-level resilience against supply and policy volatility. Clinically, the imperative is clear-prompt source control and tailored antimicrobial therapy save lives, but achieving this consistently requires investments in diagnostics, stewardship infrastructure, and cross-disciplinary coordination. Operationally, procurement and pharmacy leaders must anticipate supply chain shocks and maintain flexible strategies that safeguard critical agents without compromising clinical standards.

Strategically, the market environment rewards organizations that integrate diagnostics with therapeutic planning and that form durable partnerships with manufacturers and service providers to ensure supply reliability. Policy changes, including tariff adjustments and evolving regulatory expectations, will continue to create both risks and opportunities; responsive systems will be those that combine clinical rigor with agile contracting and contingency planning. Ultimately, translating insight into improved patient outcomes depends on aligning clinical pathways, stewardship goals, and procurement practices so that each reinforces the others in routine care and crisis response.

Leaders who operationalize these priorities will not only mitigate immediate risks but also contribute to broader efforts to preserve antimicrobial effectiveness and improve outcomes for patients with intra-abdominal infections.

Table of Contents

1. Preface

• 1.1. Objectives of the Study
• 1.2. Market Segmentation & Coverage
• 1.3. Years Considered for the Study
• 1.4. Currency & Pricing
• 1.5. Language
• 1.6. Stakeholders

2. Research Methodology

3. Executive Summary

4. Market Overview

5. Market Insights

• 5.1. Rising demand for novel B-lactamase inhibitor combinations to combat multidrug-resistant intra-abdominal pathogens
• 5.2. Increasing adoption of pathogen-specific rapid diagnostic panels for targeted therapy in complex abdominal sepsis
• 5.3. Growing investment in oral step-down antibiotic regimens to reduce hospital length of stay in intra-abdominal infections
• 5.4. Emergence of next-generation cephalosporin-B-lactamase inhibitor combinations offering expanded Pseudomonas coverage in intra-abdominal infections
• 5.5. Expanding pipeline of bacteriophage therapies targeting Pseudomonas and Enterobacteriaceae in intra-abdominal infections

6. Cumulative Impact of United States Tariffs 2025

7. Cumulative Impact of Artificial Intelligence 2025

8. Intra-abdominal Infections Market, by Antibiotic Class

• 8.1. Carbapenems
  • 8.1.1. Doripenem
  • 8.1.2. Ertapenem
  • 8.1.3. Imipenem/Cilastatin
  • 8.1.4. Meropenem
• 8.2. Cephalosporins
  • 8.2.1. Fourth Generation
    • 8.2.1.1. Cefepime
  • 8.2.2. Third Generation
    • 8.2.2.1. Cefotaxime
    • 8.2.2.2. Ceftriaxone
• 8.3. Penicillins
  • 8.3.1. Ampicillin/Sulbactam
  • 8.3.2. Piperacillin/Tazobactam

9. Intra-abdominal Infections Market, by Infection Type

• 9.1. Community Acquired
  • 9.1.1. Complicated
  • 9.1.2. Uncomplicated
• 9.2. Hospital Acquired
  • 9.2.1. ICU Associated
  • 9.2.2. Post Surgical

10. Intra-abdominal Infections Market, by Pathogen Type

• 10.1. Anaerobic
  • 10.1.1. Bacteroides Fragilis
  • 10.1.2. Clostridium Species
• 10.2. Gram Negative
  • 10.2.1. Enterobacteriaceae
  • 10.2.2. Pseudomonas Aeruginosa
• 10.3. Gram Positive
  • 10.3.1. Enterococcus Species
  • 10.3.2. Staphylococcus Aureus

11. Intra-abdominal Infections Market, by Patient Age Group

• 11.1. Adult
• 11.2. Geriatric
• 11.3. Pediatric

12. Intra-abdominal Infections Market, by End User

• 12.1. Ambulatory Care Centres
• 12.2. Hospitals
  • 12.2.1. Secondary Care
  • 12.2.2. Tertiary Care

13. Intra-abdominal Infections Market, by Region

• 13.1. Americas
  • 13.1.1. North America
  • 13.1.2. Latin America
• 13.2. Europe, Middle East & Africa
  • 13.2.1. Europe
  • 13.2.2. Middle East
  • 13.2.3. Africa
• 13.3. Asia-Pacific

14. Intra-abdominal Infections Market, by Group

• 14.1. ASEAN
• 14.2. GCC
• 14.3. European Union
• 14.4. BRICS
• 14.5. G7
• 14.6. NATO

15. Intra-abdominal Infections Market, by Country

• 15.1. United States
• 15.2. Canada
• 15.3. Mexico
• 15.4. Brazil
• 15.5. United Kingdom
• 15.6. Germany
• 15.7. France
• 15.8. Russia
• 15.9. Italy
• 15.10. Spain
• 15.11. China
• 15.12. India
• 15.13. Japan
• 15.14. Australia
• 15.15. South Korea

16. Competitive Landscape

• 16.1. Market Share Analysis, 2024
• 16.2. FPNV Positioning Matrix, 2024
• 16.3. Competitive Analysis
  • 16.3.1. Pfizer Inc.
  • 16.3.2. Sandoz International GmbH
  • 16.3.3. Teva Pharmaceutical Industries Ltd.
  • 16.3.4. Merck & Co., Inc.
  • 16.3.5. Fresenius Kabi AG
  • 16.3.6. Hikma Pharmaceuticals PLC
  • 16.3.7. Allergan plc
  • 16.3.8. GlaxoSmithKline plc
  • 16.3.9. Cipla Limited
  • 16.3.10. Lupin Limited