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CDC

Antimicrobial Resistance

Carbapenem-resistant E. coli

% Resistant in 2024

1.2% Resistant

Number of Resistant Isolates of the Total Number of Isolates Tested In 2024

152 Resistant

/ 13,166 Tested

% Resistant by Patient Age in 2024

Pediatric:
1.6% Resistant
Adult:
1.1% Resistant

Pathogen Profile

Carbapenem-resistant E. coli

E. coli cause pneumonia, urinary tract infections, and bloodstream infections in hospitalized patients. Carbapenem-Resistant E. coli is a subset of the very resistant "nightmare" bacteria carbapenem-resistant Enterobacterales (CRE).

Geographic Locations

Antimicrobial resistance varies by location, driven by a number of factors, including antibiotic use and infection control practices in individual healthcare facilities, the underlying health and age of the patient population, and regional spread from nearby locations.

Percent Carbapenem resistance Among E. coli by State Map

This map shows the variation in % carbapenem resistance among E. coli causing all event types in 2024.

Percent Carbapenem resistance Among E. coli by State

Percent Carbapenem resistance Among by State
Locationvalue
Alabama1.9
Alaska0
Arizona0.5
Arkansas0
California2.1
Colorado0.5
Connecticut2.8
DelawareInsufficient Data
District of Columbia5.3
Florida1.1
Georgia0.6
Hawaii0
Idaho0
Illinois0.9
Indiana1
Iowa1.2
Kansas0
Kentucky1.1
Louisiana0.5
Maine0
Maryland2.6
Massachusetts1
Michigan0.9
Minnesota0.3
Mississippi0
Missouri0.7
Montana0
Nebraska0
Nevada1.5
New Hampshire0
New Jersey2.3
New Mexico0
New York1.3
North Carolina0.7
North DakotaInsufficient Data
Ohio0.4
Oklahoma0.9
Oregon0
Pennsylvania0.9
Puerto Rico6.9
Rhode Island2.2
South Carolina0
South Dakota0
Tennessee0
Texas1.1
Utah0
Vermont0
Virginia1.4
Washington0.9
West Virginia5
Wisconsin0
WyomingInsufficient Data

Percent Carbapenem resistance Among E. coli by State List

Geography

Geography
statevalue
United States1.2%
Alabama1.9%
Alaska0.0%
Arizona0.5%
Arkansas0.0%
California2.1%
Colorado0.5%
Connecticut2.8%
DelawareNo Data
District of Columbia5.3%

Changes Over Time in Carbapenem resistance Among E. coli

This graph displays percent antimicrobial resistance from 2011 to 2024 for all event types. Blank areas of the chart represent 0% resistance, indicating that zero resistant pathogens were reported for the selected year, phenotype, and HAI type. “Insufficient data” indicates that less than 20 pathogens were isolated and tested for resistance.

Due to definition changes, caution should be used when reviewing this phenotype over time.

Changes Over Time in Carbapenem resistance Among E. coli
Year% Resistant
20111
20120.6
20130.8
20140.6
20150.6
20160.6
20170.8
20180.6
20190.6
20200.8
20210.8
20221
20231
20241.2

Healthcare Facility Type

The setting or type of healthcare facility can influence the types of procedures and prevention measures that are related to healthcare-associated infections and antimicrobial resistance.

Carbapenem resistance Among E. coli by Hospital Type

This graph displays percent antimicrobial resistance by hospital type in 2024.

Percent resistant Among E. coli by Hospital Type

Percent resistant Among E. coli by Hospital Type
Hospital Type% Resistant
General Acute Care Hospitals1.2
Long Term Acute Care Hospitals1.4
Inpatient Rehabilitation Facilities1

Footnotes

  • HAIs include Catheter-associated Urinary Tract Infections (CAUTI), Central Line-associated Bloodstream Infections (CLABSI), and Surgical Site Infections (SSI).
  • CI (Confidence Interval) - The national, regional, and state-level data included in Antimicrobial Resistance information are displayed with 95% confidence intervals around the percent resistance, which were calculated using a mid-P exact test and are an indication of precision.
  • Map legends are classified using the Jenks Natural Breaks method.
  • The definition for this phenotype underwent changes in 2021. For more information, refer to the AR&PSP Phenotype Definitions.