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

Based on 1121 first isolates · ED · Cystitis (lower UTI) · 2023-11-26 → 2024-11-24
Emergency department
Per-organism detail: ED urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
nitrofurantoin 86 % (84 %–88 %)
No tissue or blood levels: cystitis only.
Not covered: Proteus mirabilis (7 %), Pseudomonas aeruginosa (4 %), Klebsiella pneumoniae (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
86 %
84 %
n = 95
nitrofurantoin NIT
trend · Escherichia coli lower UTI only
86 %
85 %
n = 95
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
82 %
80 %
n = 95
ciprofloxacin CIP
trend · Escherichia coli
81 %
76 %
n = 95
ceftriaxone CRO
trend · Escherichia coli
80 %
76 %
n = 95
mecillinam MEC
trend · Escherichia coli lower UTI only
80 %
76 %
n = 95
trimethoprim TMP
trend · Escherichia coli lower UTI only
77 %
75 %
n = 95
74 %
73 %
n = 95
51 %
55 %
n = 95
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
11 %
14 %
n = 95
4 %
6 %
n = 95
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
5 %
n = 95

Most likely organisms for this profile

Escherichia coli
56 %
Klebsiella pneumoniae
12 %
Enterococcus faecalis
8 %
Proteus mirabilis
7 %
Citrobacter freundii
4 %
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.