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 % · 2024-12-15
Based on 1230 first isolates · PHC-N · Febrile UTI / pyelonephritis · 2023-12-17 → 2024-12-15
Health centre North
Per-organism detail: PHC-N urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 83 % (81 %–85 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (11 %), Staphylococcus aureus (3 %), Staphylococcus saprophyticus (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli not for this site
84 %
89 %
n = 103
meropenem MEM
trend · Escherichia coli reserve
83 %
88 %
n = 103
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
86 %
n = 103
ceftriaxone CRO
trend · Escherichia coli
76 %
83 %
n = 103
ciprofloxacin CIP
trend · Escherichia coli
76 %
82 %
n = 103
mecillinam MEC
trend · Escherichia coli not for this site
76 %
83 %
n = 103
72 %
81 %
n = 103
trimethoprim TMP
trend · Escherichia coli not for this site
72 %
77 %
n = 103
51 %
53 %
n = 103
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
14 %
11 %
n = 103
5 %
2 %
n = 103
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
3 %
n = 103

Most likely organisms for this profile

Escherichia coli
50 %
Klebsiella pneumoniae
13 %
Enterococcus faecalis
11 %
Proteus mirabilis
8 %
Pseudomonas aeruginosa
5 %
Klebsiella oxytoca
3 %

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.