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 388 first isolates · GER · Febrile UTI / pyelonephritis · 2023-12-31 → 2024-12-29
Geriatrics
Per-organism detail: GER urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 83 % (79 %–87 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (10 %), Staphylococcus aureus (4 %), Staphylococcus saprophyticus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli not for this site
84 %
86 %
n = 37
meropenem MEM
trend · Escherichia coli reserve
83 %
78 %
n = 37
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
76 %
n = 37
ciprofloxacin CIP
trend · Escherichia coli
78 %
73 %
n = 37
ceftriaxone CRO
trend · Escherichia coli
76 %
76 %
n = 37
mecillinam MEC
trend · Escherichia coli not for this site
76 %
73 %
n = 37
72 %
70 %
n = 37
trimethoprim TMP
trend · Escherichia coli not for this site
67 %
62 %
n = 37
49 %
54 %
n = 37
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
14 %
19 %
n = 37
4 %
3 %
n = 37
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
5 %
n = 37

Most likely organisms for this profile

Escherichia coli
59 %
Enterococcus faecalis
10 %
Klebsiella pneumoniae
9 %
Proteus mirabilis
6 %
Staphylococcus aureus
4 %
Pseudomonas aeruginosa
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.