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 % · 2024-11-17
Based on 391 first isolates · MED-B · Febrile UTI / pyelonephritis · 2023-11-19 → 2024-11-17
Internal medicine B
Per-organism detail: MED-B urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 86 % (82 %–89 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (9 %), Staphylococcus aureus (3 %), Staphylococcus saprophyticus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
86 %
88 %
n = 33
nitrofurantoin NIT
trend · Escherichia coli not for this site
81 %
79 %
n = 33
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
79 %
n = 33
ceftriaxone CRO
trend · Escherichia coli
80 %
76 %
n = 33
mecillinam MEC
trend · Escherichia coli not for this site
79 %
79 %
n = 33
ciprofloxacin CIP
trend · Escherichia coli
76 %
79 %
n = 33
74 %
61 %
n = 33
trimethoprim TMP
trend · Escherichia coli not for this site
71 %
70 %
n = 33
49 %
39 %
n = 33
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
12 %
12 %
n = 33
4 %
6 %
n = 33
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
0 %
n = 33

Most likely organisms for this profile

Escherichia coli
55 %
Klebsiella pneumoniae
12 %
Enterococcus faecalis
9 %
Proteus mirabilis
7 %
Klebsiella oxytoca
5 %
Pseudomonas aeruginosa
5 %

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.