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Accredited official statistics

Gram-negative, MRSA and MSSA bacteraemia and C. difficile infections: annual epidemiological commentary 2025 to 2026

Trends in E. coli, Klebsiella spp., P. aeruginosa, MRSA and MSSA bacteraemia and C. difficile infections up to and including financial year 2025 to 2026 (1 April 2025 to 31 March 2026).

Applies to England

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About this report

UKHSA maintains an enhanced reporting system for Gram-negative, MRSA, and MSSA bacteraemia and C. difficile infections (CDI). NHS acute trusts in England are mandated to report cases of E. coli, Klebsiella spp., P. aeruginosa, MRSA and MSSA bacteraemia and CDI into this system. This report outlines the latest trends and developments in these infections. It aims to provide valuable insights into the incidence, prevalence and future work related to these infections, contributing to the ongoing efforts to enhance patient safety in healthcare settings.

View the pre-release access list for this statistical release.

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This publication introduces changes to structure and formatting of this report. We would like to hear any feedback you have on these changes or the report in general through the following survey.

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Official statistics

These official statistics were independently reviewed by the Office for Statistics Regulation in May 2022. They comply with the standards of trustworthiness, quality and value in the Code of Practice for Statistics and should be labelled ‘accredited official statistics’. Accredited official statistics are called National Statistics in the Statistics and Registration Service Act 2007. Further explanation of accredited official statistics can be found on the Office for Statistics Regulation website.

Financial year data

The following financial year data is included in the latest annual epidemiological commentary for Escherichia coli (E. coli), Klebsiella species (Klebsiella spp.), Pseudomonas aeruginosa (P. aeruginosa), meticillin-resistant Staphylococcus aureus (MRSA), meticillin-susceptible Staphylococcus aureus (MSSA) bacteraemia, and Clostridioides difficile infection (CDI).

  • E. coli bacteraemia: April 2012 to March 2026
  • Klebsiella spp. bacteraemia: April 2017 to March 2026
  • P. aeruginosa bacteraemia: April 2017 to March 2026
  • MRSA bacteraemia: April 2007 to March 2026
  • MSSA bacteraemia: April 2011 to March 2026
  • C. difficile infection: April 2007 to March 2026

Annual trust and sub-integrated care board tables

The annual trust and sub-integrated care board tables are now located in the “Annual counts and rates by acute trust and sub-integrated care board location for Gram-negative, MRSA and MSSA bacteraemia and C. difficile infections data, up to and including financial year 2025 to 2026” ODS data file attached to this report. Tables for each data collection have been combined into one spreadsheet. This change was intended to make trust and sub-integrated care board-level data more easily accessible alongside the annual epidemiological commentary. Previous tables are located with previous versions of the annual epidemiological commentary.

Enquiries or feedback

To request copies of the report in alternative formats, please contact publications@ukhsa.gov.uk

For any other enquiries or feedback, contact mandatory.surveillance@ukhsa.gov.uk

Updates to this page

Published 24 September 2026

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