Gallup found that the median approval of US leadership in 134 countries plummeted to only 30 percent, down 18 points from President Barack Obama's final year in office in 2016. That is the lowest toll since Gallup began tracking the measure in 2007.
It is also a full four points less than the previous low during the last year of former President George W. Bush's time in office.
As approval of leadership declined, disapproval soared, Gallup said. Disapproval shot up 15 percentage points to a 43 percent median, hitting the highest mark since the poll began, Anadolu agency reported.
Major losses in confidence were recorded by Gallup among close US allies including Portugal, Belgium, Norway and Canada, which had drops in confidence of 40 points or more.
In all, confidence in US leadership fell by 10 points or more in 65 countries, including all of western and northern Europe and nearly all of Latin America.
"Regionally, the image of US leadership suffered most in the Americas, where approval ratings dropped to a new low," Gallup found. "The median of 24% who approve of US leadership in the region now stands at about half of what it was in the last year of the Obama administration (49%)."
While approval was hit just about as hard in Europe, Gallup said it has not shattered the regional record set in the final years of the Bush presidency.
Trump did wrack up a smattering of increased approval in a handful of countries. Liberia, Macedonia, Israel and Belarus all recorded an improvement of 10 points or more, Gallup found.
Trump has long stressed that under his administration, the US would pursue an "America first" policy that critics have said is more accurately described as "America only".
With its 30 percent approval, the US stands just below China, which is at 31 percent, and slightly above Russia, which is at 27 percent.
Trump notably views both countries as rivals on the global stage.