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 % · 2024-12-29
Based on 510 first isolates · MED-A · Cystitis (lower UTI) · 2023-12-31 → 2024-12-29
Internal medicine A
Per-organism detail: MED-A urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
nitrofurantoin 83 % (79 %–86 %)
No tissue or blood levels: cystitis only.
Not covered: Proteus mirabilis (6 %), Pseudomonas aeruginosa (5 %), Klebsiella pneumoniae (4 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
86 %
78 %
n = 46
nitrofurantoin NIT
trend · Escherichia coli lower UTI only
83 %
87 %
n = 46
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
72 %
n = 46
ciprofloxacin CIP
trend · Escherichia coli
80 %
67 %
n = 46
ceftriaxone CRO
trend · Escherichia coli
78 %
74 %
n = 46
mecillinam MEC
trend · Escherichia coli lower UTI only
77 %
76 %
n = 46
72 %
65 %
n = 46
trimethoprim TMP
trend · Escherichia coli lower UTI only
70 %
59 %
n = 46
47 %
52 %
n = 46
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
20 %
n = 46
5 %
2 %
n = 46
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
2 %
n = 46

Most likely organisms for this profile

Escherichia coli
58 %
Klebsiella pneumoniae
9 %
Enterococcus faecalis
9 %
Proteus mirabilis
6 %
Pseudomonas aeruginosa
5 %
Klebsiella oxytoca
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.