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Entry title:

Antimicrobial resistance in Escherichia coli (E. coli) bacteriuria

Last updated on Thursday, 31 July 2025 at 04:28pm

This page provides information on resistance to antimicrobials in Escherichia coli bacteriuria (bacteria found in urine specimens). Data breakdowns are available for England, by UKHSA Region and by Integrated Care Board.

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Overview

Antibiotics are grouped based on the UK-AWaRe classification. These are:

Access
Access antibiotics are with a narrow spectrum of activity, fewer side effects, lower costs, and importantly lower resistance potential. These are first or second choice antibiotics recommended for empiric treatment of the most common infections and should be widely available. That is to say, these antibiotics should offer the best therapeutic value while minimizing the potential for resistance.

Watch
Watch antibiotics have a higher resistance potential and are broader-spectrum antibiotics. These are first or second choice antibiotics indicated for a limited number of infective syndromes. As these antibiotics are considered to have a higher potential for selection of AMR, their use should be carefully monitored.

Reserve
Reserve antibiotics are “last resort” antibiotics, including new antibiotics. These are used for highly selected patients (life-threatening infections due to multi-drug-resistant bacteria) and are closely monitored and prioritized as targets of stewardship programmes to ensure continued effectiveness.

Resistance

Rolling monthly average percent of E. coli bacteriuria resistant to nitrofurantoin and trimethoprim. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including month of 1 Apr 2025

ChartThere are 2 plots on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is plot number 1 on this chart. This is a dark blue solid line plot. The plot has a label of 'Nitrofurantoin (Access)'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentResistantRollingMonthAllMedFac' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It rose from 2.25 on 01 July 2020 to 2.35 on 01 April 2021. It fell from 2.32 on 01 May 2021 to 2.23 on 01 February 2022. It fell from 2.25 on 01 March 2022 to 1.74 on 01 December 2022. It rose from 1.71 on 01 January 2023 to 1.9 on 01 October 2023. It rose from 1.88 on 01 November 2023 to 2.05 on 01 July 2024. And finally. It fell from 2.02 on 01 August 2024 to 1.99 on 01 April 2025. This is plot number 2 on this chart. This is a turquoise solid line plot. The plot has a label of 'Trimethoprim (Access)'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentResistantRollingMonthAllMedFac' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It fell from 30.06 on 01 July 2020 to 27.92 on 01 April 2021. It fell from 27.84 on 01 May 2021 to 27.13 on 01 February 2022. It rose from 27.25 on 01 March 2022 to 27.43 on 01 December 2022. It fell from 27.83 on 01 January 2023 to 27.48 on 01 October 2023. It rose from 27.67 on 01 November 2023 to 28.94 on 01 July 2024. And finally. It rose from 28.78 on 01 August 2024 to 30.07 on 01 April 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Resistance data for rolling monthly average percent of E. coli bacteriuria resistant to nitrofurantoin and trimethoprim. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including 1 April 2025

MonthNitrofurantoin (Access)Trimethoprim (Access)
1 Apr 20251.9930.07
1 Mar 20251.9329.98
1 Feb 20251.9129.98
1 Jan 20251.9029.81
1 Dec 20241.9129.39
1 Nov 20241.9328.93
1 Oct 20241.9528.72
1 Sep 20241.9928.63
1 Aug 20242.0228.78
1 Jul 20242.0528.94
1 Jun 20242.0829.28
1 May 20242.1229.40
1 Apr 20242.1229.25
1 Mar 20242.0729.10
1 Feb 20242.0128.90
1 Jan 20241.9628.58
1 Dec 20231.9028.00
1 Nov 20231.8827.67
1 Oct 20231.9027.48
1 Sep 20231.8827.51
1 Aug 20231.9527.62
1 Jul 20231.9827.88
1 Jun 20232.0728.16
1 May 20232.0028.18
1 Apr 20231.9128.35
1 Mar 20231.8128.26
1 Feb 20231.7428.21
1 Jan 20231.7127.83
1 Dec 20221.7427.43
1 Nov 20221.7827.04
1 Oct 20221.7826.68
1 Sep 20221.8026.53
1 Aug 20221.8426.61
1 Jul 20221.9926.90
1 Jun 20222.1427.32
1 May 20222.2427.43
1 Apr 20222.2827.32
1 Mar 20222.2527.25
1 Feb 20222.2327.13
1 Jan 20222.2226.91
1 Dec 20212.2126.52
1 Nov 20212.1926.37
1 Oct 20212.2326.28
1 Sep 20212.2226.22
1 Aug 20212.3526.50
1 Jul 20212.3227.01
1 Jun 20212.3727.56
1 May 20212.3227.84
1 Apr 20212.3527.92
1 Mar 20212.3528.18
1 Feb 20212.3228.23
1 Jan 20212.2828.37
1 Dec 20202.2728.29
1 Nov 20202.1728.39
1 Oct 20202.0928.75
1 Sep 20202.0429.13
1 Aug 20202.1129.66
1 Jul 20202.2530.06
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About

Source: AMR module of Second Generation Surveillance System (SGSS). SGSS is a live reporting database, and therefore data is subject to change. Note 1: The chart shows a three-month rolling average, so the data shown for one month is the average across that month and the previous two months. Note 2: Interpreting national antibiotic resistance surveillance trends spanning European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoint transition periods requires additional consideration to avoid misinterpretation of data. Note 3: Specimen setting was defined using fields available in SGSS AMR and Trust data available from the 2023/24 Estates Return Information Collection (ERIC). Acute Trust specimens are those recorded by the laboratory as being taken in an acute trust setting or those with site codes that matched an ‘Acute’ trust type in ERIC. GP specimens are those recorded by the laboratory as being taken at a GP surgery or those not matching a trust type in ERIC; in addition, from previous validation work, codes of non-GP sites were also excluded from the GP specimens grouping. Presentation by setting may be impacted by local laboratory data reporting, whereby laboratories that do not differentiate between specimen settings may inaccurately represent the split in Acute Trust versus GP specimen setting for that area.

Nitrofurantoin

Testing by setting type

Rolling monthly average number of E. coli bacteriuria tested for resistance to nitrofurantoin. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including month of 1 Apr 2025

ChartThere are 3 plots on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is plot number 1 on this chart. This is a dark blue solid line plot. The plot has a label of 'All settings'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaNumberTestedRollingMonthAllMedFac' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It rose from 62686.67 on 01 July 2020 to 73975.0 on 01 April 2021. It rose from 76200.0 on 01 May 2021 to 78869.33 on 01 February 2022. It rose from 81156.33 on 01 March 2022 to 85873.67 on 01 December 2022. It rose from 87065.33 on 01 January 2023 to 95066.0 on 01 October 2023. It fell from 93958.33 on 01 November 2023 to 88789.0 on 01 July 2024. And finally. It fell from 88896.67 on 01 August 2024 to 84180.0 on 01 April 2025. This is plot number 2 on this chart. This is a turquoise solid line plot. The plot has a label of 'GP'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaNumberTestedRollingMonthGP' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It rose from 40888.33 on 01 July 2020 to 49011.33 on 01 April 2021. It rose from 49665.33 on 01 May 2021 to 52707.67 on 01 February 2022. It rose from 54425.33 on 01 March 2022 to 58128.0 on 01 December 2022. It rose from 59188.67 on 01 January 2023 to 65447.0 on 01 October 2023. It fell from 64999.0 on 01 November 2023 to 61078.0 on 01 July 2024. And finally. It fell from 61457.33 on 01 August 2024 to 57744.0 on 01 April 2025. This is plot number 3 on this chart. This is a dark pink solid line plot. The plot has a label of 'Acute trusts'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaNumberTestedRollingMonthAcuteTrust' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It rose from 21253.0 on 01 July 2020 to 24386.67 on 01 April 2021. It fell from 25900.33 on 01 May 2021 to 25327.0 on 01 February 2022. It rose from 25828.67 on 01 March 2022 to 26835.0 on 01 December 2022. It rose from 26932.33 on 01 January 2023 to 28605.67 on 01 October 2023. It fell from 28008.33 on 01 November 2023 to 26921.67 on 01 July 2024. And finally. It fell from 26647.33 on 01 August 2024 to 25535.67 on 01 April 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Testing by setting type data for rolling monthly average number of E. coli bacteriuria tested for resistance to nitrofurantoin. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including 1 April 2025

MonthAll settings
1 Apr 202584,180.00
1 Mar 202588,184.67
1 Feb 202587,902.67
1 Jan 202590,119.33
1 Dec 202490,656.33
1 Nov 202492,715.33
1 Oct 202492,420.33
1 Sep 202491,609.00
1 Aug 202488,896.67
1 Jul 202488,789.00
1 Jun 202486,934.67
1 May 202487,003.33
1 Apr 202486,348.00
1 Mar 202489,693.67
1 Feb 202488,760.67
1 Jan 202491,100.00
1 Dec 202390,416.33
1 Nov 202393,958.33
1 Oct 202395,066.00
1 Sep 202393,553.33
1 Aug 202392,738.00
1 Jul 202389,479.00
1 Jun 202384,807.67
1 May 202385,743.00
1 Apr 202384,786.67
1 Mar 202389,114.67
1 Feb 202384,511.67
1 Jan 202387,065.33
1 Dec 202285,873.67
1 Nov 202290,564.00
1 Oct 202290,085.00
1 Sep 202288,069.67
1 Aug 202283,121.67
1 Jul 202280,266.33
1 Jun 202278,472.33
1 May 202281,023.00
1 Apr 202279,284.33
1 Mar 202281,156.33
1 Feb 202278,869.33
1 Jan 202282,126.67
1 Dec 202181,964.33
1 Nov 202184,325.33
1 Oct 202183,077.00
1 Sep 202182,971.67
1 Aug 202181,608.33
1 Jul 202178,854.00
1 Jun 202176,555.00
1 May 202176,200.00
1 Apr 202173,975.00
1 Mar 202170,953.33
1 Feb 202167,663.33
1 Jan 202169,243.33
1 Dec 202071,871.67
1 Nov 202073,830.33
1 Oct 202072,706.67
1 Sep 202072,800.67
1 Aug 202068,787.33
1 Jul 202062,686.67
MonthGP
1 Apr 202557,744.00
1 Mar 202561,105.00
1 Feb 202560,890.67
1 Jan 202562,528.67
1 Dec 202463,052.00
1 Nov 202464,974.67
1 Oct 202464,607.33
1 Sep 202463,857.00
1 Aug 202461,457.33
1 Jul 202461,078.00
1 Jun 202459,522.67
1 May 202459,469.00
1 Apr 202459,457.67
1 Mar 202462,361.00
1 Feb 202462,021.33
1 Jan 202463,710.33
1 Dec 202362,705.33
1 Nov 202364,999.00
1 Oct 202365,447.00
1 Sep 202363,880.00
1 Aug 202363,022.00
1 Jul 202359,995.00
1 Jun 202356,407.33
1 May 202357,225.67
1 Apr 202357,295.00
1 Mar 202360,940.00
1 Feb 202357,524.33
1 Jan 202359,188.67
1 Dec 202258,128.00
1 Nov 202261,497.00
1 Oct 202261,102.33
1 Sep 202259,478.33
1 Aug 202255,683.00
1 Jul 202253,191.00
1 Jun 202251,790.00
1 May 202253,893.67
1 Apr 202252,981.00
1 Mar 202254,425.33
1 Feb 202252,707.67
1 Jan 202255,082.67
1 Dec 202154,988.33
1 Nov 202156,739.33
1 Oct 202155,599.00
1 Sep 202155,390.00
1 Aug 202153,957.67
1 Jul 202151,321.67
1 Jun 202149,462.67
1 May 202149,665.33
1 Apr 202149,011.33
1 Mar 202147,319.00
1 Feb 202144,795.33
1 Jan 202145,768.00
1 Dec 202047,631.33
1 Nov 202049,248.00
1 Oct 202048,190.00
1 Sep 202048,355.33
1 Aug 202045,339.33
1 Jul 202040,888.33
MonthAcute trusts
1 Apr 202525,535.67
1 Mar 202526,161.00
1 Feb 202526,119.00
1 Jan 202526,684.00
1 Dec 202426,716.67
1 Nov 202426,846.67
1 Oct 202426,945.33
1 Sep 202426,920.67
1 Aug 202426,647.33
1 Jul 202426,921.67
1 Jun 202426,624.67
1 May 202426,725.00
1 Apr 202426,093.00
1 Mar 202426,501.33
1 Feb 202425,938.67
1 Jan 202426,548.33
1 Dec 202326,879.00
1 Nov 202328,008.33
1 Oct 202328,605.67
1 Sep 202328,607.00
1 Aug 202328,669.00
1 Jul 202328,446.00
1 Jun 202327,398.33
1 May 202327,495.33
1 Apr 202326,506.67
1 Mar 202327,157.33
1 Feb 202326,048.67
1 Jan 202326,932.33
1 Dec 202226,835.00
1 Nov 202228,114.67
1 Oct 202228,035.33
1 Sep 202227,650.67
1 Aug 202226,521.67
1 Jul 202226,183.67
1 Jun 202225,822.67
1 May 202226,246.00
1 Apr 202225,419.67
1 Mar 202225,828.67
1 Feb 202225,327.00
1 Jan 202226,197.00
1 Dec 202126,121.67
1 Nov 202126,675.33
1 Oct 202126,607.33
1 Sep 202126,773.67
1 Aug 202126,925.67
1 Jul 202126,848.33
1 Jun 202126,431.33
1 May 202125,900.33
1 Apr 202124,386.67
1 Mar 202123,114.00
1 Feb 202122,338.00
1 Jan 202122,909.00
1 Dec 202023,624.67
1 Nov 202023,963.33
1 Oct 202023,884.33
1 Sep 202023,796.33
1 Aug 202022,821.33
1 Jul 202021,253.00
Download

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About

Source: AMR module of Second Generation Surveillance System (SGSS). SGSS is a live reporting database, and therefore data is subject to change. Note 1: The chart shows a three-month rolling average, so the data shown for one month is the average across that month and the previous two months. Note 2: Interpreting national antibiotic resistance surveillance trends spanning European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoint transition periods requires additional consideration to avoid misinterpretation of data. Note 3: Specimen setting was defined using fields available in SGSS AMR and Trust data available from the 2023/24 Estates Return Information Collection (ERIC). Acute Trust specimens are those recorded by the laboratory as being taken in an acute trust setting or those with site codes that matched an ‘Acute’ trust type in ERIC. GP specimens are those recorded by the laboratory as being taken at a GP surgery or those not matching a trust type in ERIC; in addition, from previous validation work, codes of non-GP sites were also excluded from the GP specimens grouping. Presentation by setting may be impacted by local laboratory data reporting, whereby laboratories that do not differentiate between specimen settings may inaccurately represent the split in Acute Trust versus GP specimen setting for that area.

Testing by setting type

Rolling monthly average percent of E. coli bacteriuria tested for resistance to nitrofurantoin. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including month of 1 Apr 2025

ChartThere are 3 plots on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is plot number 1 on this chart. This is a dark blue solid line plot. The plot has a label of 'All settings'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentTestedRollingMonthAllMedFac' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It fell from 97.64 on 01 July 2020 to 96.77 on 01 April 2021. It rose from 96.62 on 01 May 2021 to 96.73 on 01 February 2022. It fell from 96.99 on 01 March 2022 to 95.08 on 01 December 2022. It fell from 94.97 on 01 January 2023 to 93.76 on 01 October 2023. It fell from 93.56 on 01 November 2023 to 92.71 on 01 July 2024. And finally. It fell from 92.56 on 01 August 2024 to 91.15 on 01 April 2025. This is plot number 2 on this chart. This is a turquoise solid line plot. The plot has a label of 'GP'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentTestedRollingMonthGP' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It fell from 97.42 on 01 July 2020 to 96.57 on 01 April 2021. It rose from 96.38 on 01 May 2021 to 96.56 on 01 February 2022. It fell from 96.86 on 01 March 2022 to 94.78 on 01 December 2022. It fell from 94.64 on 01 January 2023 to 93.45 on 01 October 2023. It fell from 93.27 on 01 November 2023 to 92.3 on 01 July 2024. And finally. It fell from 92.17 on 01 August 2024 to 90.78 on 01 April 2025. This is plot number 3 on this chart. This is a dark pink solid line plot. The plot has a label of 'Acute trusts'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentTestedRollingMonthAcuteTrust' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It fell from 97.09 on 01 July 2020 to 96.08 on 01 April 2021. It rose from 95.98 on 01 May 2021 to 96.04 on 01 February 2022. It fell from 96.18 on 01 March 2022 to 94.39 on 01 December 2022. It fell from 94.22 on 01 January 2023 to 92.61 on 01 October 2023. It fell from 92.41 on 01 November 2023 to 91.58 on 01 July 2024. And finally. It fell from 91.39 on 01 August 2024 to 89.93 on 01 April 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Testing by setting type data for rolling monthly average percent of E. coli bacteriuria tested for resistance to nitrofurantoin. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including 1 April 2025

MonthAll settings
1 Apr 202591.15
1 Mar 202591.32
1 Feb 202591.58
1 Jan 202591.77
1 Dec 202491.98
1 Nov 202492.09
1 Oct 202492.25
1 Sep 202492.39
1 Aug 202492.56
1 Jul 202492.71
1 Jun 202492.76
1 May 202492.90
1 Apr 202492.95
1 Mar 202493.13
1 Feb 202493.12
1 Jan 202493.27
1 Dec 202393.35
1 Nov 202393.56
1 Oct 202393.76
1 Sep 202393.96
1 Aug 202394.06
1 Jul 202394.11
1 Jun 202394.20
1 May 202394.39
1 Apr 202394.57
1 Mar 202394.77
1 Feb 202394.86
1 Jan 202394.97
1 Dec 202295.08
1 Nov 202295.28
1 Oct 202295.52
1 Sep 202295.84
1 Aug 202296.23
1 Jul 202296.63
1 Jun 202296.93
1 May 202297.04
1 Apr 202297.04
1 Mar 202296.99
1 Feb 202296.73
1 Jan 202296.45
1 Dec 202196.23
1 Nov 202196.18
1 Oct 202196.17
1 Sep 202196.08
1 Aug 202196.05
1 Jul 202196.12
1 Jun 202196.32
1 May 202196.62
1 Apr 202196.77
1 Mar 202196.84
1 Feb 202196.92
1 Jan 202197.05
1 Dec 202097.05
1 Nov 202097.16
1 Oct 202097.31
1 Sep 202097.49
1 Aug 202097.55
1 Jul 202097.64
MonthGP
1 Apr 202590.78
1 Mar 202590.90
1 Feb 202591.16
1 Jan 202591.34
1 Dec 202491.54
1 Nov 202491.69
1 Oct 202491.83
1 Sep 202491.97
1 Aug 202492.17
1 Jul 202492.30
1 Jun 202492.36
1 May 202492.49
1 Apr 202492.52
1 Mar 202492.72
1 Feb 202492.66
1 Jan 202492.88
1 Dec 202393.00
1 Nov 202393.27
1 Oct 202393.45
1 Sep 202393.62
1 Aug 202393.72
1 Jul 202393.77
1 Jun 202393.84
1 May 202394.03
1 Apr 202394.21
1 Mar 202394.43
1 Feb 202394.53
1 Jan 202394.64
1 Dec 202294.78
1 Nov 202294.99
1 Oct 202295.24
1 Sep 202295.59
1 Aug 202296.02
1 Jul 202296.48
1 Jun 202296.77
1 May 202296.89
1 Apr 202296.92
1 Mar 202296.86
1 Feb 202296.56
1 Jan 202296.20
1 Dec 202195.96
1 Nov 202195.89
1 Oct 202195.81
1 Sep 202195.68
1 Aug 202195.59
1 Jul 202195.68
1 Jun 202195.95
1 May 202196.38
1 Apr 202196.57
1 Mar 202196.66
1 Feb 202196.76
1 Jan 202196.94
1 Dec 202096.96
1 Nov 202097.04
1 Oct 202097.14
1 Sep 202097.28
1 Aug 202097.33
1 Jul 202097.42
MonthAcute trusts
1 Apr 202589.93
1 Mar 202590.10
1 Feb 202590.47
1 Jan 202590.65
1 Dec 202490.94
1 Nov 202490.90
1 Oct 202491.12
1 Sep 202491.24
1 Aug 202491.39
1 Jul 202491.58
1 Jun 202491.61
1 May 202491.82
1 Apr 202491.92
1 Mar 202492.11
1 Feb 202492.25
1 Jan 202492.28
1 Dec 202392.38
1 Nov 202392.41
1 Oct 202392.61
1 Sep 202392.85
1 Aug 202393.04
1 Jul 202393.17
1 Jun 202393.28
1 May 202393.49
1 Apr 202393.72
1 Mar 202393.92
1 Feb 202394.09
1 Jan 202394.22
1 Dec 202294.39
1 Nov 202294.54
1 Oct 202294.76
1 Sep 202295.05
1 Aug 202295.44
1 Jul 202295.84
1 Jun 202296.18
1 May 202296.26
1 Apr 202296.21
1 Mar 202296.18
1 Feb 202296.04
1 Jan 202295.86
1 Dec 202195.60
1 Nov 202195.57
1 Oct 202195.72
1 Sep 202195.74
1 Aug 202195.82
1 Jul 202195.77
1 Jun 202195.89
1 May 202195.98
1 Apr 202196.08
1 Mar 202196.18
1 Feb 202196.30
1 Jan 202196.34
1 Dec 202096.32
1 Nov 202096.46
1 Oct 202096.74
1 Sep 202096.93
1 Aug 202096.97
1 Jul 202097.09
Download

Download data

Select format
About

Source: AMR module of Second Generation Surveillance System (SGSS). SGSS is a live reporting database, and therefore data is subject to change. Note 1: The chart shows a three-month rolling average, so the data shown for one month is the average across that month and the previous two months. Note 2: Interpreting national antibiotic resistance surveillance trends spanning European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoint transition periods requires additional consideration to avoid misinterpretation of data. Note 3: Specimen setting was defined using fields available in SGSS AMR and Trust data available from the 2023/24 Estates Return Information Collection (ERIC). Acute Trust specimens are those recorded by the laboratory as being taken in an acute trust setting or those with site codes that matched an ‘Acute’ trust type in ERIC. GP specimens are those recorded by the laboratory as being taken at a GP surgery or those not matching a trust type in ERIC; in addition, from previous validation work, codes of non-GP sites were also excluded from the GP specimens grouping. Presentation by setting may be impacted by local laboratory data reporting, whereby laboratories that do not differentiate between specimen settings may inaccurately represent the split in Acute Trust versus GP specimen setting for that area.

Resistance by setting type

Rolling monthly average percent of E. coli bacteriuria resistant to nitrofurantoin by type of setting. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including month of 1 Apr 2025

ChartThere are 3 plots on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is plot number 1 on this chart. This is a dark blue solid line plot. The plot has a label of 'All settings'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentResistantRollingMonthAllMedFac' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It rose from 2.25 on 01 July 2020 to 2.35 on 01 April 2021. It fell from 2.32 on 01 May 2021 to 2.23 on 01 February 2022. It fell from 2.25 on 01 March 2022 to 1.74 on 01 December 2022. It rose from 1.71 on 01 January 2023 to 1.9 on 01 October 2023. It rose from 1.88 on 01 November 2023 to 2.05 on 01 July 2024. And finally. It fell from 2.02 on 01 August 2024 to 1.99 on 01 April 2025. This is plot number 2 on this chart. This is a turquoise solid line plot. The plot has a label of 'GP'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentResistantRollingMonthGP' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It rose from 2.23 on 01 July 2020 to 2.27 on 01 April 2021. It fell from 2.29 on 01 May 2021 to 2.12 on 01 February 2022. It fell from 2.16 on 01 March 2022 to 1.63 on 01 December 2022. It rose from 1.61 on 01 January 2023 to 1.77 on 01 October 2023. It rose from 1.75 on 01 November 2023 to 1.95 on 01 July 2024. And finally. It fell from 1.91 on 01 August 2024 to 1.88 on 01 April 2025. This is plot number 3 on this chart. This is a dark pink solid line plot. The plot has a label of 'Acute trusts'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentResistantRollingMonthAcuteTrust' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It rose from 2.28 on 01 July 2020 to 2.49 on 01 April 2021. It rose from 2.4 on 01 May 2021 to 2.46 on 01 February 2022. It fell from 2.44 on 01 March 2022 to 1.99 on 01 December 2022. It rose from 1.92 on 01 January 2023 to 2.2 on 01 October 2023. It rose from 2.18 on 01 November 2023 to 2.27 on 01 July 2024. And finally. It fell from 2.26 on 01 August 2024 to 2.22 on 01 April 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Resistance by setting type data for rolling monthly average percent of E. coli bacteriuria resistant to nitrofurantoin by type of setting. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including 1 April 2025

MonthAll settingsGP
1 Apr 20251.991.88
1 Mar 20251.931.81
1 Feb 20251.911.80
1 Jan 20251.901.79
1 Dec 20241.911.81
1 Nov 20241.931.84
1 Oct 20241.951.85
1 Sep 20241.991.88
1 Aug 20242.021.91
1 Jul 20242.051.95
1 Jun 20242.081.99
1 May 20242.122.04
1 Apr 20242.122.04
1 Mar 20242.071.98
1 Feb 20242.011.90
1 Jan 20241.961.83
1 Dec 20231.901.79
1 Nov 20231.881.75
1 Oct 20231.901.77
1 Sep 20231.881.74
1 Aug 20231.951.82
1 Jul 20231.981.86
1 Jun 20232.071.96
1 May 20232.001.89
1 Apr 20231.911.79
1 Mar 20231.811.71
1 Feb 20231.741.64
1 Jan 20231.711.61
1 Dec 20221.741.63
1 Nov 20221.781.64
1 Oct 20221.781.65
1 Sep 20221.801.67
1 Aug 20221.841.71
1 Jul 20221.991.85
1 Jun 20222.142.02
1 May 20222.242.14
1 Apr 20222.282.19
1 Mar 20222.252.16
1 Feb 20222.232.12
1 Jan 20222.222.10
1 Dec 20212.212.10
1 Nov 20212.192.10
1 Oct 20212.232.16
1 Sep 20212.222.13
1 Aug 20212.352.28
1 Jul 20212.322.26
1 Jun 20212.372.35
1 May 20212.322.29
1 Apr 20212.352.27
1 Mar 20212.352.27
1 Feb 20212.322.23
1 Jan 20212.282.23
1 Dec 20202.272.18
1 Nov 20202.172.08
1 Oct 20202.091.99
1 Sep 20202.041.98
1 Aug 20202.112.07
1 Jul 20202.252.23
MonthAcute trusts
1 Apr 20252.22
1 Mar 20252.19
1 Feb 20252.17
1 Jan 20252.14
1 Dec 20242.15
1 Nov 20242.16
1 Oct 20242.17
1 Sep 20242.24
1 Aug 20242.26
1 Jul 20242.27
1 Jun 20242.27
1 May 20242.28
1 Apr 20242.28
1 Mar 20242.28
1 Feb 20242.27
1 Jan 20242.25
1 Dec 20232.17
1 Nov 20232.18
1 Oct 20232.20
1 Sep 20232.17
1 Aug 20232.22
1 Jul 20232.21
1 Jun 20232.29
1 May 20232.19
1 Apr 20232.15
1 Mar 20232.01
1 Feb 20231.92
1 Jan 20231.92
1 Dec 20221.99
1 Nov 20222.08
1 Oct 20222.05
1 Sep 20222.08
1 Aug 20222.10
1 Jul 20222.25
1 Jun 20222.38
1 May 20222.44
1 Apr 20222.47
1 Mar 20222.44
1 Feb 20222.46
1 Jan 20222.47
1 Dec 20212.44
1 Nov 20212.39
1 Oct 20212.40
1 Sep 20212.41
1 Aug 20212.49
1 Jul 20212.44
1 Jun 20212.42
1 May 20212.40
1 Apr 20212.49
1 Mar 20212.49
1 Feb 20212.48
1 Jan 20212.37
1 Dec 20202.45
1 Nov 20202.37
1 Oct 20202.32
1 Sep 20202.17
1 Aug 20202.19
1 Jul 20202.28
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About

Source: AMR module of Second Generation Surveillance System (SGSS). SGSS is a live reporting database, and therefore data is subject to change. Note 1: The chart shows a three-month rolling average, so the data shown for one month is the average across that month and the previous two months. Note 2: Interpreting national antibiotic resistance surveillance trends spanning European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoint transition periods requires additional consideration to avoid misinterpretation of data. Note 3: Specimen setting was defined using fields available in SGSS AMR and Trust data available from the 2023/24 Estates Return Information Collection (ERIC). Acute Trust specimens are those recorded by the laboratory as being taken in an acute trust setting or those with site codes that matched an ‘Acute’ trust type in ERIC. GP specimens are those recorded by the laboratory as being taken at a GP surgery or those not matching a trust type in ERIC; in addition, from previous validation work, codes of non-GP sites were also excluded from the GP specimens grouping. Presentation by setting may be impacted by local laboratory data reporting, whereby laboratories that do not differentiate between specimen settings may inaccurately represent the split in Acute Trust versus GP specimen setting for that area.

Trimethoprim

Testing by setting type

Rolling monthly average number of E. coli bacteriuria tested for resistance to trimethoprim. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including month of 1 Apr 2025

ChartThere are 3 plots on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is plot number 1 on this chart. This is a dark blue solid line plot. The plot has a label of 'All settings'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaNumberTestedRollingMonthAllMedFac' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It rose from 62070.33 on 01 July 2020 to 73173.33 on 01 April 2021. It rose from 75511.33 on 01 May 2021 to 78263.33 on 01 February 2022. It rose from 80720.33 on 01 March 2022 to 82491.0 on 01 December 2022. It rose from 83695.33 on 01 January 2023 to 90848.67 on 01 October 2023. It fell from 89808.0 on 01 November 2023 to 84682.67 on 01 July 2024. And finally. It fell from 85651.0 on 01 August 2024 to 82977.67 on 01 April 2025. This is plot number 2 on this chart. This is a turquoise solid line plot. The plot has a label of 'GP'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaNumberTestedRollingMonthGP' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It rose from 40553.67 on 01 July 2020 to 48444.67 on 01 April 2021. It rose from 49189.33 on 01 May 2021 to 52239.33 on 01 February 2022. It rose from 54071.0 on 01 March 2022 to 56130.33 on 01 December 2022. It rose from 57205.67 on 01 January 2023 to 62756.33 on 01 October 2023. It fell from 62386.0 on 01 November 2023 to 58511.67 on 01 July 2024. And finally. It fell from 59333.0 on 01 August 2024 to 57002.67 on 01 April 2025. This is plot number 3 on this chart. This is a dark pink solid line plot. The plot has a label of 'Acute trusts'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaNumberTestedRollingMonthAcuteTrust' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It rose from 20970.33 on 01 July 2020 to 24154.33 on 01 April 2021. It fell from 25689.67 on 01 May 2021 to 25170.67 on 01 February 2022. It fell from 25731.0 on 01 March 2022 to 25469.33 on 01 December 2022. It rose from 25567.33 on 01 January 2023 to 27113.0 on 01 October 2023. It fell from 26500.33 on 01 November 2023 to 25407.33 on 01 July 2024. And finally. It fell from 25539.0 on 01 August 2024 to 25076.67 on 01 April 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Testing by setting type data for rolling monthly average number of E. coli bacteriuria tested for resistance to trimethoprim. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including 1 April 2025

MonthAll settings
1 Apr 202582,977.67
1 Mar 202587,002.00
1 Feb 202586,699.67
1 Jan 202588,914.00
1 Dec 202489,711.00
1 Nov 202491,995.67
1 Oct 202491,564.33
1 Sep 202489,521.33
1 Aug 202485,651.00
1 Jul 202484,682.67
1 Jun 202483,089.00
1 May 202483,082.67
1 Apr 202482,563.67
1 Mar 202485,599.67
1 Feb 202484,753.33
1 Jan 202486,901.33
1 Dec 202386,325.67
1 Nov 202389,808.00
1 Oct 202390,848.67
1 Sep 202389,308.67
1 Aug 202388,638.33
1 Jul 202385,662.00
1 Jun 202381,322.67
1 May 202382,209.33
1 Apr 202381,361.67
1 Mar 202385,525.00
1 Feb 202381,159.00
1 Jan 202383,695.33
1 Dec 202282,491.00
1 Nov 202287,353.33
1 Oct 202287,559.67
1 Sep 202286,409.67
1 Aug 202282,037.00
1 Jul 202279,468.33
1 Jun 202277,924.33
1 May 202280,632.67
1 Apr 202278,946.33
1 Mar 202280,720.33
1 Feb 202278,263.33
1 Jan 202281,303.33
1 Dec 202181,085.00
1 Nov 202183,481.67
1 Oct 202182,375.33
1 Sep 202182,352.67
1 Aug 202181,102.00
1 Jul 202178,364.00
1 Jun 202176,004.00
1 May 202175,511.33
1 Apr 202173,173.33
1 Mar 202170,148.67
1 Feb 202166,903.33
1 Jan 202168,528.67
1 Dec 202071,214.67
1 Nov 202073,325.33
1 Oct 202072,215.67
1 Sep 202072,260.00
1 Aug 202068,110.67
1 Jul 202062,070.33
MonthGP
1 Apr 202557,002.67
1 Mar 202560,386.67
1 Feb 202560,188.00
1 Jan 202561,713.33
1 Dec 202462,385.67
1 Nov 202464,376.00
1 Oct 202463,991.00
1 Sep 202462,441.33
1 Aug 202459,333.00
1 Jul 202458,511.67
1 Jun 202457,211.00
1 May 202457,136.33
1 Apr 202457,198.67
1 Mar 202459,865.00
1 Feb 202459,583.67
1 Jan 202461,123.67
1 Dec 202360,182.67
1 Nov 202362,386.00
1 Oct 202362,756.33
1 Sep 202361,179.33
1 Aug 202360,481.67
1 Jul 202357,716.67
1 Jun 202354,426.00
1 May 202355,228.67
1 Apr 202355,348.33
1 Mar 202358,825.00
1 Feb 202355,551.00
1 Jan 202357,205.67
1 Dec 202256,130.33
1 Nov 202259,535.00
1 Oct 202259,459.00
1 Sep 202258,312.67
1 Aug 202254,846.33
1 Jul 202252,552.00
1 Jun 202251,335.00
1 May 202253,556.67
1 Apr 202252,678.67
1 Mar 202254,071.00
1 Feb 202252,239.33
1 Jan 202254,498.67
1 Dec 202154,355.00
1 Nov 202156,153.00
1 Oct 202155,155.00
1 Sep 202155,035.67
1 Aug 202153,728.33
1 Jul 202151,068.67
1 Jun 202149,138.67
1 May 202149,189.33
1 Apr 202148,444.67
1 Mar 202146,740.00
1 Feb 202144,243.00
1 Jan 202145,225.33
1 Dec 202047,156.00
1 Nov 202048,885.67
1 Oct 202047,866.67
1 Sep 202047,992.67
1 Aug 202044,935.00
1 Jul 202040,553.67
MonthAcute trusts
1 Apr 202525,076.67
1 Mar 202525,700.00
1 Feb 202525,622.00
1 Jan 202526,290.33
1 Dec 202426,427.33
1 Nov 202426,716.00
1 Oct 202426,707.00
1 Sep 202426,261.00
1 Aug 202425,539.00
1 Jul 202425,407.33
1 Jun 202425,113.67
1 May 202425,164.67
1 Apr 202424,589.33
1 Mar 202424,942.00
1 Feb 202424,410.00
1 Jan 202424,974.33
1 Dec 202325,338.33
1 Nov 202326,500.33
1 Oct 202327,113.00
1 Sep 202327,094.33
1 Aug 202327,136.00
1 Jul 202326,934.67
1 Jun 202325,935.67
1 May 202326,003.00
1 Apr 202325,069.00
1 Mar 202325,715.33
1 Feb 202324,697.33
1 Jan 202325,567.33
1 Dec 202225,469.33
1 Nov 202226,889.00
1 Oct 202227,166.00
1 Sep 202227,160.67
1 Aug 202226,266.00
1 Jul 202226,023.33
1 Jun 202225,724.33
1 May 202226,189.67
1 Apr 202225,367.33
1 Mar 202225,731.00
1 Feb 202225,170.67
1 Jan 202225,953.33
1 Dec 202125,876.33
1 Nov 202126,423.67
1 Oct 202126,351.00
1 Sep 202126,512.33
1 Aug 202126,654.00
1 Jul 202126,624.33
1 Jun 202126,212.00
1 May 202125,689.67
1 Apr 202124,154.33
1 Mar 202122,893.67
1 Feb 202122,136.67
1 Jan 202122,741.67
1 Dec 202023,440.33
1 Nov 202023,814.67
1 Oct 202023,710.33
1 Sep 202023,613.67
1 Aug 202022,549.00
1 Jul 202020,970.33
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About

Source: AMR module of Second Generation Surveillance System (SGSS). SGSS is a live reporting database, and therefore data is subject to change. Note 1: The chart shows a three-month rolling average, so the data shown for one month is the average across that month and the previous two months. Note 2: Interpreting national antibiotic resistance surveillance trends spanning European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoint transition periods requires additional consideration to avoid misinterpretation of data. Note 3: Specimen setting was defined using fields available in SGSS AMR and Trust data available from the 2023/24 Estates Return Information Collection (ERIC). Acute Trust specimens are those recorded by the laboratory as being taken in an acute trust setting or those with site codes that matched an ‘Acute’ trust type in ERIC. GP specimens are those recorded by the laboratory as being taken at a GP surgery or those not matching a trust type in ERIC; in addition, from previous validation work, codes of non-GP sites were also excluded from the GP specimens grouping. Presentation by setting may be impacted by local laboratory data reporting, whereby laboratories that do not differentiate between specimen settings may inaccurately represent the split in Acute Trust versus GP specimen setting for that area.

Testing by setting type

Rolling monthly average percent of E. coli bacteriuria tested for resistance to trimethoprim. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including month of 1 Apr 2025

ChartThere are 3 plots on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is plot number 1 on this chart. This is a dark blue solid line plot. The plot has a label of 'All settings'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentTestedRollingMonthAllMedFac' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It fell from 96.68 on 01 July 2020 to 95.72 on 01 April 2021. It rose from 95.75 on 01 May 2021 to 95.99 on 01 February 2022. It fell from 96.47 on 01 March 2022 to 91.33 on 01 December 2022. It fell from 91.3 on 01 January 2023 to 89.6 on 01 October 2023. It fell from 89.43 on 01 November 2023 to 88.42 on 01 July 2024. And finally. It rose from 89.18 on 01 August 2024 to 89.84 on 01 April 2025. This is plot number 2 on this chart. This is a turquoise solid line plot. The plot has a label of 'GP'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentTestedRollingMonthGP' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It fell from 96.62 on 01 July 2020 to 95.45 on 01 April 2021. It rose from 95.45 on 01 May 2021 to 95.7 on 01 February 2022. It fell from 96.23 on 01 March 2022 to 91.52 on 01 December 2022. It fell from 91.47 on 01 January 2023 to 89.61 on 01 October 2023. It fell from 89.52 on 01 November 2023 to 88.42 on 01 July 2024. And finally. It rose from 88.99 on 01 August 2024 to 89.61 on 01 April 2025. This is plot number 3 on this chart. This is a dark pink solid line plot. The plot has a label of 'Acute trusts'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentTestedRollingMonthAcuteTrust' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It fell from 95.8 on 01 July 2020 to 95.16 on 01 April 2021. It rose from 95.2 on 01 May 2021 to 95.45 on 01 February 2022. It fell from 95.81 on 01 March 2022 to 89.58 on 01 December 2022. It fell from 89.44 on 01 January 2023 to 87.78 on 01 October 2023. It fell from 87.44 on 01 November 2023 to 86.43 on 01 July 2024. And finally. It rose from 87.59 on 01 August 2024 to 88.32 on 01 April 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Testing by setting type data for rolling monthly average percent of E. coli bacteriuria tested for resistance to trimethoprim. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including 1 April 2025

MonthAll settings
1 Apr 202589.84
1 Mar 202590.10
1 Feb 202590.33
1 Jan 202590.55
1 Dec 202491.02
1 Nov 202491.38
1 Oct 202491.39
1 Sep 202490.28
1 Aug 202489.18
1 Jul 202488.42
1 Jun 202488.66
1 May 202488.71
1 Apr 202488.87
1 Mar 202488.88
1 Feb 202488.91
1 Jan 202488.97
1 Dec 202389.13
1 Nov 202389.43
1 Oct 202389.60
1 Sep 202389.69
1 Aug 202389.90
1 Jul 202390.10
1 Jun 202390.33
1 May 202390.50
1 Apr 202390.75
1 Mar 202390.95
1 Feb 202391.10
1 Jan 202391.30
1 Dec 202291.33
1 Nov 202291.90
1 Oct 202292.84
1 Sep 202294.03
1 Aug 202294.97
1 Jul 202295.67
1 Jun 202296.26
1 May 202296.57
1 Apr 202296.63
1 Mar 202296.47
1 Feb 202295.99
1 Jan 202295.48
1 Dec 202195.20
1 Nov 202195.22
1 Oct 202195.35
1 Sep 202195.36
1 Aug 202195.46
1 Jul 202195.52
1 Jun 202195.63
1 May 202195.75
1 Apr 202195.72
1 Mar 202195.75
1 Feb 202195.83
1 Jan 202196.05
1 Dec 202096.17
1 Nov 202096.49
1 Oct 202096.65
1 Sep 202096.76
1 Aug 202096.59
1 Jul 202096.68
MonthGP
1 Apr 202589.61
1 Mar 202589.83
1 Feb 202590.11
1 Jan 202590.15
1 Dec 202490.57
1 Nov 202490.84
1 Oct 202490.95
1 Sep 202489.94
1 Aug 202488.99
1 Jul 202488.42
1 Jun 202488.77
1 May 202488.86
1 Apr 202489.01
1 Mar 202489.01
1 Feb 202489.01
1 Jan 202489.11
1 Dec 202389.26
1 Nov 202389.52
1 Oct 202389.61
1 Sep 202389.66
1 Aug 202389.94
1 Jul 202390.21
1 Jun 202390.55
1 May 202390.75
1 Apr 202391.01
1 Mar 202391.15
1 Feb 202391.29
1 Jan 202391.47
1 Dec 202291.52
1 Nov 202291.96
1 Oct 202292.68
1 Sep 202293.72
1 Aug 202294.58
1 Jul 202295.32
1 Jun 202295.92
1 May 202296.28
1 Apr 202296.37
1 Mar 202296.23
1 Feb 202295.70
1 Jan 202295.18
1 Dec 202194.86
1 Nov 202194.90
1 Oct 202195.04
1 Sep 202195.07
1 Aug 202195.19
1 Jul 202195.21
1 Jun 202195.32
1 May 202195.45
1 Apr 202195.45
1 Mar 202195.47
1 Feb 202195.57
1 Jan 202195.79
1 Dec 202095.99
1 Nov 202096.32
1 Oct 202096.49
1 Sep 202096.55
1 Aug 202096.46
1 Jul 202096.62
MonthAcute trusts
1 Apr 202588.32
1 Mar 202588.52
1 Feb 202588.75
1 Jan 202589.32
1 Dec 202489.95
1 Nov 202490.46
1 Oct 202490.31
1 Sep 202489.01
1 Aug 202487.59
1 Jul 202486.43
1 Jun 202486.41
1 May 202486.45
1 Apr 202486.62
1 Mar 202486.69
1 Feb 202486.81
1 Jan 202486.81
1 Dec 202387.08
1 Nov 202387.44
1 Oct 202387.78
1 Sep 202387.94
1 Aug 202388.06
1 Jul 202388.22
1 Jun 202388.30
1 May 202388.42
1 Apr 202388.64
1 Mar 202388.94
1 Feb 202389.21
1 Jan 202389.44
1 Dec 202289.58
1 Nov 202290.42
1 Oct 202291.83
1 Sep 202293.37
1 Aug 202294.53
1 Jul 202295.25
1 Jun 202295.81
1 May 202296.05
1 Apr 202296.01
1 Mar 202295.81
1 Feb 202295.45
1 Jan 202294.97
1 Dec 202194.70
1 Nov 202194.67
1 Oct 202194.80
1 Sep 202194.81
1 Aug 202194.85
1 Jul 202194.97
1 Jun 202195.10
1 May 202195.20
1 Apr 202195.16
1 Mar 202195.26
1 Feb 202195.43
1 Jan 202195.63
1 Dec 202095.57
1 Nov 202095.86
1 Oct 202096.03
1 Sep 202096.19
1 Aug 202095.82
1 Jul 202095.80
Download

Download data

Select format
About

Source: AMR module of Second Generation Surveillance System (SGSS). SGSS is a live reporting database, and therefore data is subject to change. Note 1: The chart shows a three-month rolling average, so the data shown for one month is the average across that month and the previous two months. Note 2: Interpreting national antibiotic resistance surveillance trends spanning European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoint transition periods requires additional consideration to avoid misinterpretation of data. Note 3: Specimen setting was defined using fields available in SGSS AMR and Trust data available from the 2023/24 Estates Return Information Collection (ERIC). Acute Trust specimens are those recorded by the laboratory as being taken in an acute trust setting or those with site codes that matched an ‘Acute’ trust type in ERIC. GP specimens are those recorded by the laboratory as being taken at a GP surgery or those not matching a trust type in ERIC; in addition, from previous validation work, codes of non-GP sites were also excluded from the GP specimens grouping. Presentation by setting may be impacted by local laboratory data reporting, whereby laboratories that do not differentiate between specimen settings may inaccurately represent the split in Acute Trust versus GP specimen setting for that area.

Resistance by setting type

Rolling monthly average percent of E. coli bacteriuria resistant to trimethoprim by type of setting. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including month of 1 Apr 2025

ChartThere are 3 plots on this chart. The horizontal X-axis is labelled 'date'. Whilst the vertical Y-axis is labelled 'metric'. This is plot number 1 on this chart. This is a dark blue solid line plot. The plot has a label of 'All settings'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentResistantRollingMonthAllMedFac' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It fell from 30.06 on 01 July 2020 to 27.92 on 01 April 2021. It fell from 27.84 on 01 May 2021 to 27.13 on 01 February 2022. It rose from 27.25 on 01 March 2022 to 27.43 on 01 December 2022. It fell from 27.83 on 01 January 2023 to 27.48 on 01 October 2023. It rose from 27.67 on 01 November 2023 to 28.94 on 01 July 2024. And finally. It rose from 28.78 on 01 August 2024 to 30.07 on 01 April 2025. This is plot number 2 on this chart. This is a turquoise solid line plot. The plot has a label of 'GP'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentResistantRollingMonthGP' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It fell from 29.7 on 01 July 2020 to 27.23 on 01 April 2021. It fell from 27.19 on 01 May 2021 to 26.41 on 01 February 2022. It rose from 26.56 on 01 March 2022 to 26.63 on 01 December 2022. It fell from 27.08 on 01 January 2023 to 26.7 on 01 October 2023. It rose from 26.86 on 01 November 2023 to 28.08 on 01 July 2024. And finally. It rose from 27.87 on 01 August 2024 to 29.32 on 01 April 2025. This is plot number 3 on this chart. This is a dark pink solid line plot. The plot has a label of 'Acute trusts'. This plot shows data for E-coli. Specifically the metric 'e-coli_testing_bacteriuriaPercentResistantRollingMonthAcuteTrust' for the England area, along with the age banding of 'all' for the gender group of all. This plot shows data from 01 July 2020 to 01 April 2025. It fell from 30.68 on 01 July 2020 to 29.24 on 01 April 2021. It fell from 29.04 on 01 May 2021 to 28.56 on 01 February 2022. It rose from 28.6 on 01 March 2022 to 29.08 on 01 December 2022. It fell from 29.39 on 01 January 2023 to 29.17 on 01 October 2023. It rose from 29.47 on 01 November 2023 to 30.81 on 01 July 2024. And finally. It rose from 30.77 on 01 August 2024 to 31.69 on 01 April 2025. There is no reporting delay period being tracked for the data on this chart. - Refer to tabular data.
Tabular data

Resistance by setting type data for rolling monthly average percent of E. coli bacteriuria resistant to trimethoprim by type of setting. Monthly figures are shown as the first day of each month. For example, the figures for January 2022 are shown as at "1 Jan 2022".

Up to and including 1 April 2025

MonthAll settingsGP
1 Apr 202530.0729.32
1 Mar 202529.9829.28
1 Feb 202529.9829.31
1 Jan 202529.8129.10
1 Dec 202429.3928.64
1 Nov 202428.9328.12
1 Oct 202428.7227.91
1 Sep 202428.6327.68
1 Aug 202428.7827.87
1 Jul 202428.9428.08
1 Jun 202429.2828.59
1 May 202429.4028.70
1 Apr 202429.2528.53
1 Mar 202429.1028.39
1 Feb 202428.9028.16
1 Jan 202428.5827.81
1 Dec 202328.0027.22
1 Nov 202327.6726.86
1 Oct 202327.4826.70
1 Sep 202327.5126.69
1 Aug 202327.6226.87
1 Jul 202327.8827.13
1 Jun 202328.1627.45
1 May 202328.1827.47
1 Apr 202328.3527.70
1 Mar 202328.2627.61
1 Feb 202328.2127.53
1 Jan 202327.8327.08
1 Dec 202227.4326.63
1 Nov 202227.0426.25
1 Oct 202226.6825.87
1 Sep 202226.5325.71
1 Aug 202226.6125.78
1 Jul 202226.9026.08
1 Jun 202227.3226.49
1 May 202227.4326.62
1 Apr 202227.3226.60
1 Mar 202227.2526.56
1 Feb 202227.1326.41
1 Jan 202226.9126.06
1 Dec 202126.5225.68
1 Nov 202126.3725.55
1 Oct 202126.2825.53
1 Sep 202126.2225.48
1 Aug 202126.5025.80
1 Jul 202127.0126.36
1 Jun 202127.5626.92
1 May 202127.8427.19
1 Apr 202127.9227.23
1 Mar 202128.1827.43
1 Feb 202128.2327.51
1 Jan 202128.3727.66
1 Dec 202028.2927.60
1 Nov 202028.3927.77
1 Oct 202028.7528.16
1 Sep 202029.1328.69
1 Aug 202029.6629.23
1 Jul 202030.0629.70
MonthAcute trusts
1 Apr 202531.69
1 Mar 202531.52
1 Feb 202531.50
1 Jan 202531.39
1 Dec 202431.05
1 Nov 202430.77
1 Oct 202430.52
1 Sep 202430.82
1 Aug 202430.77
1 Jul 202430.81
1 Jun 202430.72
1 May 202430.87
1 Apr 202430.84
1 Mar 202430.71
1 Feb 202430.62
1 Jan 202430.36
1 Dec 202329.74
1 Nov 202329.47
1 Oct 202329.17
1 Sep 202329.19
1 Aug 202329.13
1 Jul 202329.30
1 Jun 202329.50
1 May 202329.52
1 Apr 202329.65
1 Mar 202329.59
1 Feb 202329.64
1 Jan 202329.39
1 Dec 202229.08
1 Nov 202228.69
1 Oct 202228.37
1 Sep 202228.21
1 Aug 202228.23
1 Jul 202228.50
1 Jun 202228.97
1 May 202229.08
1 Apr 202228.72
1 Mar 202228.60
1 Feb 202228.56
1 Jan 202228.64
1 Dec 202128.24
1 Nov 202128.04
1 Oct 202127.80
1 Sep 202127.69
1 Aug 202127.85
1 Jul 202128.21
1 Jun 202128.72
1 May 202129.04
1 Apr 202129.24
1 Mar 202129.62
1 Feb 202129.57
1 Jan 202129.73
1 Dec 202029.63
1 Nov 202029.62
1 Oct 202029.89
1 Sep 202029.99
1 Aug 202030.46
1 Jul 202030.68
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Source: AMR module of Second Generation Surveillance System (SGSS). SGSS is a live reporting database, and therefore data is subject to change. Note 1: The chart shows a three-month rolling average, so the data shown for one month is the average across that month and the previous two months. Note 2: Interpreting national antibiotic resistance surveillance trends spanning European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoint transition periods requires additional consideration to avoid misinterpretation of data. Note 3: Specimen setting was defined using fields available in SGSS AMR and Trust data available from the 2023/24 Estates Return Information Collection (ERIC). Acute Trust specimens are those recorded by the laboratory as being taken in an acute trust setting or those with site codes that matched an ‘Acute’ trust type in ERIC. GP specimens are those recorded by the laboratory as being taken at a GP surgery or those not matching a trust type in ERIC; in addition, from previous validation work, codes of non-GP sites were also excluded from the GP specimens grouping. Presentation by setting may be impacted by local laboratory data reporting, whereby laboratories that do not differentiate between specimen settings may inaccurately represent the split in Acute Trust versus GP specimen setting for that area.

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