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 % · 2024-12-22
Based on 661 first isolates · URO · Febrile UTI / pyelonephritis · 2023-12-24 → 2024-12-22
Urology
Per-organism detail: URO urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 83 % (80 %–86 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (10 %), Staphylococcus aureus (4 %), Staphylococcus saprophyticus (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
83 %
80 %
n = 56
nitrofurantoin NIT
trend · Escherichia coli not for this site
82 %
84 %
n = 56
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
79 %
n = 56
ceftriaxone CRO
trend · Escherichia coli
76 %
75 %
n = 56
mecillinam MEC
trend · Escherichia coli not for this site
75 %
75 %
n = 56
ciprofloxacin CIP
trend · Escherichia coli
73 %
66 %
n = 56
trimethoprim TMP
trend · Escherichia coli not for this site
72 %
70 %
n = 56
70 %
70 %
n = 56
48 %
45 %
n = 56
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
18 %
n = 56
4 %
2 %
n = 56
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
5 %
n = 56

Most likely organisms for this profile

Escherichia coli
55 %
Klebsiella pneumoniae
11 %
Enterococcus faecalis
10 %
Proteus mirabilis
7 %
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.