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 % · 2025-02-02
Based on 397 first isolates · MED-B · Febrile UTI / pyelonephritis · 2024-02-04 → 2025-02-02
Internal medicine B
Per-organism detail: MED-B urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 85 % (81 %–88 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (11 %), Staphylococcus aureus (3 %), Staphylococcus saprophyticus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
85 %
83 %
n = 23
nitrofurantoin NIT
trend · Escherichia coli not for this site
81 %
96 %
n = 23
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
83 %
n = 23
ceftriaxone CRO
trend · Escherichia coli
78 %
83 %
n = 23
mecillinam MEC
trend · Escherichia coli not for this site
77 %
70 %
n = 23
ciprofloxacin CIP
trend · Escherichia coli
76 %
83 %
n = 23
73 %
78 %
n = 23
trimethoprim TMP
trend · Escherichia coli not for this site
70 %
83 %
n = 23
50 %
57 %
n = 23
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
17 %
n = 23
4 %
0 %
n = 23
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
4 %
n = 23

Most likely organisms for this profile

Escherichia coli
55 %
Enterococcus faecalis
11 %
Klebsiella pneumoniae
10 %
Proteus mirabilis
7 %
Klebsiella oxytoca
5 %
Pseudomonas aeruginosa
5 %

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.