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 1215 first isolates · PHC-N · Febrile UTI / pyelonephritis · 2023-12-31 → 2024-12-29
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 %
84 %
n = 96
meropenem MEM
trend · Escherichia coli reserve
83 %
90 %
n = 96
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
85 %
n = 96
ciprofloxacin CIP
trend · Escherichia coli
76 %
86 %
n = 96
ceftriaxone CRO
trend · Escherichia coli
76 %
83 %
n = 96
mecillinam MEC
trend · Escherichia coli not for this site
76 %
83 %
n = 96
72 %
77 %
n = 96
trimethoprim TMP
trend · Escherichia coli not for this site
72 %
81 %
n = 96
51 %
56 %
n = 96
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
14 %
10 %
n = 96
4 %
3 %
n = 96
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
2 %
n = 96

Most likely organisms for this profile

Escherichia coli
51 %
Klebsiella pneumoniae
13 %
Enterococcus faecalis
11 %
Proteus mirabilis
8 %
Pseudomonas aeruginosa
5 %
Citrobacter freundii
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.