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 389 first isolates · GER · Febrile UTI / pyelonephritis · 2023-12-03 → 2024-12-01
Geriatrics
Per-organism detail: GER urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 85 % (81 %–88 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (9 %), Staphylococcus aureus (4 %), Staphylococcus saprophyticus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
85 %
97 %
n = 32
nitrofurantoin NIT
trend · Escherichia coli not for this site
84 %
72 %
n = 32
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
84 %
n = 32
ciprofloxacin CIP
trend · Escherichia coli
78 %
88 %
n = 32
ceftriaxone CRO
trend · Escherichia coli
78 %
78 %
n = 32
mecillinam MEC
trend · Escherichia coli not for this site
77 %
84 %
n = 32
74 %
66 %
n = 32
trimethoprim TMP
trend · Escherichia coli not for this site
68 %
88 %
n = 32
49 %
34 %
n = 32
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
0 %
n = 32
4 %
9 %
n = 32
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
0 %
n = 32

Most likely organisms for this profile

Escherichia coli
61 %
Enterococcus faecalis
9 %
Klebsiella pneumoniae
8 %
Proteus mirabilis
6 %
Pseudomonas aeruginosa
4 %
Staphylococcus aureus
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.