51cg

UK Antimicrobial Registry (UKAR)

In this section
UK Antimicrobial Registry (UKAR)

UK Antimicrobial Registry logo
Duration: Ongoing from 02 November 2021
Funder:
Chief investigators: Professor Gary Macfarlane , Professor Gareth Jones
Other co-investigators: Dr Callum Kaye (NHS Grampian), Dr Noha El Sakka (NHS Grampian)
Study coordinators: Dr Rebecca Parr , Jisha Babu , Jonathan Lock
Research Analyst: Dr Ross Macdonald
Project assistant: Jay Woods

Effective antimicrobial agents are a crucial component of modern medicine allowing the elimination or inhibition of growth of all microorganisms. However, their effectiveness is threatened by evolutionary development of certain microbes. According to the World Health Organisation (WHO), antimicrobial resistance is increasing world-wide, and compromising our ability to treat infectious diseases and undermining many other advances in health and medicine. The purpose of the UKAR is to answer a broad set of research questions around novel anti-microbial agents. It will allow us to describe the use of such novel agents throughout the UK and to quantify the clinical outcomes and safety profile associated with their use in a real world setting.

Enquiries about the study can be emailed to ukar@abdn.ac.uk .

You can find out more about the registry, including the latest study news, at the .

Expression of Interest

If you are a clinician who is interested in antimicrobial resistance, please complete the UKAR Study Expression of Interest form below. You can also access the form from .

Participating Study Locations

News

Social Media Posts

๐ŸŽ‰๐Ÿ‘ Huge congrats to the University Hospitals of Leicester NHS Trust team for reaching 100 participants in the #UKARStudy! Funded by BSAC & supported by Pfizer, Menarini & Shionogi — driving progress in tackling antimicrobial resistance & improving patient care. ๐Ÿ’™๐ŸŒ #NHSResearch #BSAC #UKAR

— Epidemiology Group, 51cg ()

๐Ÿ“ขSTUDY UPDATE; 12-month extension to UKAR ๐Ÿ—“๏ธ The #UKARStudy team are delighted to announce that the @nihr.bsky.social-supported UK Antimicrobial Registry has extended #Participant #recruitment to May 2027. Get involved in the @bsacandjac.bsky.social-funded #AMR study TODAY โžก๏ธ tinyurl.com/4j7vs5tv

— Epidemiology Group, 51cg ()
 

The #UKAR team is lucky to work with some outstanding Principal Investigators across the UK! ๐ŸŒŸ Ceri Phillips, Consultant Antimicrobial Pharmacist & NICE panel member, leads the #UKARStudy team at Aneurin Bevan UHB. Here's why she got involved โฌ‡๏ธ ๐Ÿ”— www.linkedin.com/feed/update/...

— Epidemiology Group, 51cg ()

Great to see our #Epidemiology Group represented at May’s @bsacandjac.bsky.social Spring Conference! ๐Ÿ‘‰Dr Rebecca Parr & Jisha Babu joined #UKAR Chief Investigators Profs Macfarlane & Jones to share insights from the #UKARStudy #AMR #AntimicrobialResistance #AMS www.linkedin.com/feed/update/...

— Epidemiology Group, 51cg ()

“Antimicrobial resistance has not gone away.” – Prof Andrew Seaton, BSAC President @bsacandjac.bsky.social The recent #BSAC Spring Conference brought the #AMR community together to tackle these urgent challenges. ๐Ÿ“ฝ๏ธ Highlights: www.linkedin.com/feed/update/...

— Epidemiology Group, 51cg ()

๐Ÿ‘ 100 Participants and Counting!๐Ÿ‘ @nhsgrampian.bsky.social & University Hospitals Birmingham NHS Foundation Trust have both recruiting 100 participants into the UK Antimicrobial Registry #UKARStudy — a significant achievement in our shared mission to tackle antimicrobial resistance ๐Ÿฆ ๐Ÿšซ โœจHuge thanks ๐Ÿ™

— Epidemiology Group, 51cg ()

๐ŸฉบCelebrating our #UKAR Research Nurses – not just on #InternationalNursesDay, but every day๐Ÿ’™ In clinical research, they are the bridge between protocols & patients—bringing empathy, precision & dedication to every step. ๐Ÿ”— www.linkedin.com/posts/epidem... @nhsgrampian.bsky.social #ClinicalResearch

— Epidemiology Group, 51cg ()

๐Ÿ“ขCalling all #DataAnalysts and #ResearchFellows. The #UKARStudy team are #hiring! Use your #StatisticalAnalysis and #MathematicalModel know-how to assess #antimicrobialresistance as part of the @bsacandjac.bsky.social UK Antimicrobial Registry www.abdnjobs.co.uk/vacancy/rese... CLOSING 30-Apr-2025 ๐Ÿƒ‍โ™€๏ธ

— Epidemiology Group, 51cg ()

๐Ÿฆ  We’re hiring! Join the fight against #antimicrobial #resistance with the UK Antimicrobial Registry #UKAR at @uniofaberdeen.bsky.social ๐Ÿ”ฌ๐Ÿงฌ We're looking for a Research Fellow (Analyst) with experience in large-scale epidemiological data ๐Ÿ“Š๐Ÿ’ป #AMR #ResearchJobs #Epidemiology #PublicHealth #Vacancy

— Epidemiology Group, 51cg ()

๐ŸŒ The #UKAR Study is now open at 51 hospital sites across the UK — including #England, #Scotland, #Wales, #NorthernIreland, and even an island off England’s south coast! ๐Ÿ๏ธ๐Ÿฅ๐Ÿงช Huge thanks to all #NHS teams & research partners making this possible! ๐Ÿ’™ #AMR #HealthResearch #ClinicalResearch

— Epidemiology Group, 51cg ()
src="https://www.linkedin.com/embed/feed/update/urn:li:ugcPost:7308851336656154625?collapsed=1" width="504" height="399" frameborder="0" allowfullscreen="">

The #UKAR has added: โœ” Aztreonam/avibactam #Emblaveo โœ” Cefepime/enmetazobactam #Exblifep Now tracking 13 antibiotics to assess real-world safety ๐Ÿฆบ & effectiveness ๐Ÿ‘ in patients with resistant infections ๐Ÿ”— www.abdn.ac.uk/iahs/academi... โœ‰๏ธ ukar@abdn.ac.uk #AMR #Antibiotics #Research

— Epidemiology Group, 51cg ()

๐Ÿ“ฃ New #antibiotics added to the UK Antimicrobial Registry #UKAR! ๐Ÿ’Š๐Ÿฆ  In collaboration with @bsacandjac.bsky.social, #UKAR collects real-world data on drugs targeting #superbugs — #bacteria #resistant to antibiotics ๐Ÿงซ ๐Ÿ˜ท #AMR causes over 1.27 million deaths globally each year and is a growing threat

— Epidemiology Group, 51cg ()

๐ŸŽ‰The #UKARStudy is delighted to open our 50th hospital site for recruitment of consenting participants to the @bsacandjac.bsky.social collaboration. @frimleyhealth.bsky.social Wexham Park site are now part of the study looking into #antimicrobialresistance #AMR #getinvolvedinresearch #tackleAMR

— Epidemiology Group, 51cg ()

๐ŸšจGreat article from @bsacandjac.bsky.social about the progress of the @uniofaberdeen.bsky.social UK Antimicrobial Registry (UKAR) Study. The #UKARStudy team work with hospitals and patients across the UK to collect data on antibiotics used for #antimicrobialresistance ๐Ÿฆ  bsac.org.uk/uk-antimicro...

— Epidemiology Group, 51cg ()

The #UKARStudy team are delighted that Dr Noha El Sakka @nhsgrampian.bsky.social and fellow delegates at the Westminster Health Forum Policy Conference included the @bsacandjac.bsky.social collaboration in their approach to tackling #antimicrobialresistance #AMR Learn more here: tinyurl.com/yhk7mt5p

— Epidemiology Group, 51cg ()
 
 

News Updates

April 2026 News Update

UKAR Study - Expansion to include Antifungal Agent โœ…

As of the 14-April-2026 the UKAR has been updated as follows:

1. Removal of dalbavancin as an eligible study drug

2. Addition of antifungal agent rezafungin to the eligible study drug list

3. Inclusion of outpatient prescriptions for all eligible study drugs

December 2025 News Update

As we wrap up 2025, we just want to say a huge thank you to all our hospital sites and collaborators for keeping the UKAR study moving forward and helping us hit some fantastic milestones this year.

Here’s a snapshot of what we’ve achieved together:
  • Milestone unlocked: 1,000 recruited participants, 56 participating sites in total, with 10 sites added to UKAR in 2025
  • 23 sites have achieved their recruitment targets, along with 3 sites celebrating more than 100 participants!
  • 2 new Gram-negative drugs added, bringing the registry to 13 eligible study drugs
  • First recruitment for Eravacycline in September 2025
  • A no-cost 12-month extension, meaning recruitment is now open until May 2027
Sharing the science:
  • Our UKAR manuscript: an overview of the first 20 months of hospital recruitment has been accepted by JAC-AMR.
  • Manuscript of data from the Virtual Registry [Scotland] has been submitted to the JAC journal.
Connecting with the community:
  • UKAR Investigators’ Day held on 12 November 2025 with all stakeholders

The 2nd session recording is available via BSAC link here:  Also, it was great to connect with many of you at the British Society for Antimicrobial Chemotherapy (BSAC) Conferences in both spring and autumn

Team news:
  • We welcomed Jonathan Lock as our new Assistant Study Coordinator in December 2025

Team photo attached — and finally, wishing everyone a happy festive season and a brilliant start to 2026. Thanks again for being part of the UKAR journey!

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January 2025 Study Update - Looking back at 2024!

We thought we would have a look back over 2024 and bring you some highlights.

At the end of 2023 we had 16 sites open to participant recruitment, but by December 2024, we had added another 31 sites, taking us to 47 sites across the UK. A massive thank you to each and every one of you for helping us collect data about the effectiveness of vital antimicrobial drugs.

As to the number of participants in the study, we have gone from 101 at the beginning of January 2024, to 628 participants on 20th December 2024. That’s a fantastic achievement, so once again, thank you all so much.

And now to the numbers, our Top Ten Recruiting Centres by the end of 2024 were found in 3 of the 4 nations, with a very strong base in the English Midlands, with strong representation from Scotland and Wales:

Recruiting Centre

Number of participants

NHS Grampian

101

University Hospitals Birmingham NHS Foundation Trust

68

University Hospitals of Leicester NHS Trust

60

Royal Papworth Hospital NHS Foundation Trust

46

NHS Greater Glasgow and Clyde

30

Imperial College

30

Manchester University NHS Hospital Trust

29

Kettering General Hospital

24

Nottingham University Hospitals NHS Trust

20

Cardiff and Vale University Health Board

19

Sites who have reached their target.

Many thanks to the team at Nottingham for reaching your recruitment target and also to those sites who have reached and exceeded their recruitment target; Aberdeen, Aneurin Bevan, Imperial College, Papworth and Portsmouth. We’re very grateful to all of you who are able to go above and beyond.

September 2024 Study Updates

Happy September everyone! I hope you all had a great summer.

Ringing the changes!

Our wonderful Study Coordinator, Laura Moir, has now left the UKAR to work on another clinical study. Laura's enthusiasm was infectious, and her experience and dedication will be sorely missed. Laura did pass on her wealth of knowledge to me and Jay during her time setting up and running the study, ensuring that the registry will continue to strive to meet the aims - understanding the effectiveness and safety of recently licensed antimicrobials used to treat real-world patients.

We are delighted to have Jisha Babu join us as Assistant Study Coordinator. Jisha has been managing the Epidemiology Group for nearly 3 years, organising us all and keeping us on track. We are looking forward to harnessing her fantastic coordination skills and her eternal optimism.

Read all about it.

The UKAR is once again in print! Please direct all interested participants and colleagues to the JAC-AMR introduction to the UKAR:

Thank you!

Thank you for your continued support of the UKAR study, your involvement is crucial in gathering data that will hopefully contribute to combating antimicrobial resistance, a global health challenge.

Please get in touch with any queries.

Rebecca, Jay and Jisha

UKAR Coordination Team

Articles

06-Aug-2024:

29-May-2024:

01-Feb-2024:

01-Jan-2024:

22-Aug-2023:

30-May-2023:

28-Apr-2023:

18-Apr-2023:

Why is this research important?

Antimicrobials are a vital part of modern medicine as they stop the growth of microorganisms that cause infection. The UKAR Study will help us look how widely these medicines are used across the UK, why they are being prescribed, and how effective they are.

Microorganisms are becoming resistant to treatment with commonly used antimicrobials. This means that it is becoming difficult to successfully treat some bacterial infections. It is estimated that, worldwide, deaths due to antimicrobial resistance are on the same scale as deaths due to major diseases such as HIV/AIDS and malaria (Lancet, 2022: ).

Links to Resources about AMR / antibiotics:

How will the research benefit patients and society?

Being part of the UKAR Study does not affect the treatment that a patient receives. Therefore, individual patients do not directly benefit from participating in the study. However, the UKAR Study will provide important information about the study drugs. The study will help us see how often these drugs are used across the UK, and to look at how safe and effective they are. Lessons learnt from the registry will help doctors across the country decide how best to treat patients in the future.

FAQs

What will this research involve?

We will ask that patients give us their consent to allow us access to their medical records and allow us to collect clinical data from their notes. No further participation is required, as the study does not include any participant surveys or questionnaires.

Clinical data will be collected during treatment with the antimicrobials included in the study, and then at 28 days, 6 months, and 12 months afterwards. We will collect information about the infections that the antimicrobials are being used to treat, why these antimicrobials were chosen and how effective they are at treating the infection. All of the information that we collect will be analysed so that we can better understand how effective the antimicrobials are at treating infections and tackling antimicrobial resistance. Participants will not be identifiable in any of the findings published from this research.

What is required of a participant in the UKAR Study?

We will ask the patient to give their consent for us to access their hospital notes. We will not ask anything further from the patient, as there are no participant surveys or questionnaires.

How will my information be used?

No personal or identifiable information about participants in the UKAR Study will be available to anyone outside of the UKAR Study team. Personal, identifiable information will be removed from the data before it is analysed.

You can find out more about how we use your information /your-privacy and/or by contacting the University Data Protection Officer: dpa@abdn.ac.uk

Which drugs are included in the UKAR Study?

Antibiotic Agents

Gram Negative Gram Positive
Aztreonam/avibactam Ceftaroline
Cefepime/enmetazobactam Ceftobiprole
Cefiderocol Delafloxacin
Ceftazidime/avibactam Oritavancin
Ceftolozane/tazobactam  
Eravacycline  
Imipenem/cilastatin/relebactam  
Meropenem/vaborbactam  

Dalbavancin has been discontinued as an eligible study drug as of 14-Apr-2026.

Antifungal Agents

Rezafungin

Who can take part in the study?

A patient must be 18 years old or older, and have been prescribed any of the eligible study drugs in a participating hospital.

The drug must have been prescribed within the last 60 days and the patient must have been treated with the drug for at least 24 hours.

As we are collecting health information, the study will ask for informed consent from patients. If a patient does not have the capacity to consent for themselves, an appropriate person will be asked to act on behalf of the patient.

If you have any questions about who can take part in the study, please email the UKAR Study team: ukar@abdn.ac.uk

How many participants does a site need to recruit?

Each site will meet with the UKAR study team to agree on an achievable recruitment target prior to joining the study.

What are the requirements of my site?

  • Prescriptions of any antimicrobials included in the study.
  • Identify patients who are prescribed antimicrobials included in the study.
  • Receive informed consent from participants.
  • Have a Principal Investigator take responsibility for running the UKAR Study at site.

The UKAR Study is registered with the NIHR Associate PI scheme -

In May 2023. Fran Garraghan, member of BSAC and former UKAR Study Principal Investigator at Manchester University NHS Foundation Trust recorded this video about setting up the study at site.

 

Study team

The team responsible for delivering the study

Professor Gary Macfarlane - Co-Chief investigator

Professor Gareth Jones - Co-Chief Investigator

Dr Rebecca Parr - Study Coordinator

Ms Jisha Babu - Assistant Study Coordinator

Mr Jonathan Lock - Assistant Study Coordinator

Dr Ross Macdonald - Research Analyst

Mr Jay Woods - Project Assistant

Special thanks for the hard work of all previously involved with the UKAR study

Mrs Laura Moir - Study Coordinator

Dr Lili Xu - Data Analyst

Dr Marcus Beasley - Interim Study Coordinator

Recruitment Centres

A full list of our study contributors can be downloaded here: UKAR Contributor List

Publications and Plain Language Summary

Plain Language Summary

Publications

Conference Posters

UKAR Poster - BSAC 2026 Spring Conference (14th to 15th May)

Download Link: UKAR BSAC Spring Conference 2026 Poster

Spring 2026 update poster from the BSAC conference - preview image

UKAR Poster - BSAC 2025 Winter Conference (27th to 28th October)

Download Link: UKAR BSAC Winter Conference 2025 Poster

UKAR BSAC Winter Conference 2025 Poster w700

UKAR Poster - BSAC 2025 Spring Conference (14th to 15th May)

Download Link: UKAR BSAC Spring Conference 2025 Poster

UKAR BSAC Spring Conference 2025

UKAR Poster - BSAC 2024 Winter Conference (4th to 5th December)

Download Link: UKAR BSAC Winter Conference Poster 2024

UKAR BSAC Winter Conference 2024

UKAR Poster - BSAC 2024 Spring Conference (16th to 17th May)

Download Link: UKARposterBSACSC_08-Apr-2024.pptx

UKAR poster

UKAR Poster - BSAC 2023 Winter Conference (30th November to 1st December)

Download Link: UKARposterBSACWC_27-Nov-2023.pptx

UKAR poster
Contact details

If you are interested to learn more about the UKAR Study, please contact the team: ukar@abdn.ac.uk