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SUMMARY  Antibiotic susceptibilities of large cohorts of Enterobacteriaceae isolated from urine collected in the community are scarce. We report the susceptibilities of Enterobacteriaceae isolated from urine of non-selected community populations in a metropolitan area (Leeds and Bradford, UK) over 2 years. Isolates ( n  = 6614) were identified as follows:  Escherichia coli  ( n  = 5436),  Klebsiella  spp. ( n  = 525),  Proteus mirabilis  ( n  = 305), and 15 other species ( n  = 290); 58 isolates were unidentified. Ampicillin resistance was observed in 53%  E. coli  and 28%  P. mirabilis ; ⩾34%  E. coli  and  P. mirabilis  were non-susceptible to trimethoprim compared to 20%  Klebsiella  spp.; nitrofurantoin resistance was observed in 3%  E. coli  and 15%  Klebsiella  spp. The occurrence of extended-spectrum  β -lactamases (ESBL) was low (6%), as was non-susceptibility to carbapenems, cefipime and tigecycline (&lt;2%). Further surveillance is required to monitor this level of resistance and additional clinical studies are needed to understand the impact on the outcome of current empirical prescribing decisions.

epidemiology and infection

Surveillance of antibiotic susceptibility of Enterobacteriaceae isolated from urine samples collected from community patients in a large metropolitan area, 2010–2012