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 % · 2024-12-01
Based on 392 first isolates · MED-B · Cystitis (lower UTI) · 2023-12-03 → 2024-12-01
Internal medicine B
Per-organism detail: MED-B urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
nitrofurantoin 81 % (77 %–84 %)
No tissue or blood levels: cystitis only.
Not covered: Proteus mirabilis (7 %), Klebsiella pneumoniae (6 %), Pseudomonas aeruginosa (5 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
85 %
76 %
n = 38
nitrofurantoin NIT
trend · Escherichia coli lower UTI only
81 %
82 %
n = 38
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
76 %
n = 38
ceftriaxone CRO
trend · Escherichia coli
79 %
66 %
n = 38
mecillinam MEC
trend · Escherichia coli lower UTI only
78 %
71 %
n = 38
ciprofloxacin CIP
trend · Escherichia coli
75 %
68 %
n = 38
74 %
68 %
n = 38
trimethoprim TMP
trend · Escherichia coli lower UTI only
70 %
71 %
n = 38
50 %
53 %
n = 38
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
18 %
n = 38
4 %
3 %
n = 38
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
0 %
n = 38

Most likely organisms for this profile

Escherichia coli
54 %
Klebsiella pneumoniae
11 %
Enterococcus faecalis
10 %
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.