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 % · 2024-11-24
Based on 1229 first isolates · PHC-S · Cystitis (lower UTI) · 2023-11-26 → 2024-11-24
Health centre South
Per-organism detail: PHC-S urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
nitrofurantoin 83 % (81 %–85 %)
No tissue or blood levels: cystitis only.
Not covered: Proteus mirabilis (8 %), Klebsiella pneumoniae (4 %), Pseudomonas aeruginosa (4 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli lower UTI only
83 %
81 %
n = 122
meropenem MEM
trend · Escherichia coli reserve
83 %
86 %
n = 122
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
80 %
n = 122
ciprofloxacin CIP
trend · Escherichia coli
78 %
81 %
n = 122
mecillinam MEC
trend · Escherichia coli lower UTI only
77 %
80 %
n = 122
trimethoprim TMP
trend · Escherichia coli lower UTI only
75 %
78 %
n = 122
ceftriaxone CRO
trend · Escherichia coli
75 %
78 %
n = 122
71 %
74 %
n = 122
51 %
56 %
n = 122
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
15 %
11 %
n = 122
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
2 %
n = 122
4 %
3 %
n = 122

Most likely organisms for this profile

Escherichia coli
51 %
Klebsiella pneumoniae
13 %
Enterococcus faecalis
10 %
Proteus mirabilis
8 %
Staphylococcus aureus
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.