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 % · 2025-01-26
Based on 1235 first isolates · PHC-N · Febrile UTI / pyelonephritis · 2024-01-28 → 2025-01-26
Health centre North
Per-organism detail: PHC-N urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
piperacillin-tazobactam 80 % (78 %–82 %)
Keep for severe or hospital-onset infections.
Not covered: Enterococcus faecalis (11 %), Staphylococcus aureus (3 %), Staphylococcus saprophyticus (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
83 %
87 %
n = 114
nitrofurantoin NIT
trend · Escherichia coli not for this site
83 %
84 %
n = 114
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
86 %
n = 114
ciprofloxacin CIP
trend · Escherichia coli
77 %
80 %
n = 114
ceftriaxone CRO
trend · Escherichia coli
76 %
80 %
n = 114
mecillinam MEC
trend · Escherichia coli not for this site
76 %
82 %
n = 114
72 %
75 %
n = 114
trimethoprim TMP
trend · Escherichia coli not for this site
71 %
72 %
n = 114
51 %
54 %
n = 114
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
14 %
11 %
n = 114
4 %
3 %
n = 114
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
2 %
n = 114

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.