Empirical therapy advisor

Before culture results are back: how likely is each antibiotic to cover the pathogen of a patient like this one, in this ward, given the last 12 months of results and today's alerts.

Patient

More options · any onset · target 80 % · 2024-11-03
Based on 1222 first isolates · PHC-S · Febrile UTI / pyelonephritis · 2023-11-05 → 2024-11-03
Health centre South
Per-organism detail: PHC-S urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 83 % (80 %–85 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (10 %), Staphylococcus aureus (5 %), Staphylococcus saprophyticus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli not for this site
83 %
82 %
n = 115
meropenem MEM
trend · Escherichia coli reserve
83 %
83 %
n = 115
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
81 %
n = 115
ciprofloxacin CIP
trend · Escherichia coli
77 %
77 %
n = 115
mecillinam MEC
trend · Escherichia coli not for this site
77 %
76 %
n = 115
trimethoprim TMP
trend · Escherichia coli not for this site
75 %
77 %
n = 115
ceftriaxone CRO
trend · Escherichia coli
75 %
76 %
n = 115
71 %
72 %
n = 115
51 %
51 %
n = 115
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
15 %
11 %
n = 115
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
3 %
n = 115
4 %
3 %
n = 115

Most likely organisms for this profile

Escherichia coli
50 %
Klebsiella pneumoniae
13 %
Enterococcus faecalis
10 %
Proteus mirabilis
8 %
Staphylococcus aureus
5 %
Pseudomonas aeruginosa
4 %

Decision support only: coverage is the share of first isolates from similar patients that were susceptible (an organism not tested for a drug counts as not covered). It does not replace local treatment guidelines, allergy and severity assessment, or clinical judgement. The black tick on each bar is the coverage target; the bracket is the 95 % confidence interval.

AEI · Tyks Laboratoriot × Mylab · JunctionX Turku. Synteettinen aineisto; EARS-Net-luvut: ECDC.