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 % · 2025-02-16
Based on 1215 first isolates · PHC-S · Febrile UTI / pyelonephritis · 2024-02-18 → 2025-02-16
Health centre South
Per-organism detail: PHC-S urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 82 % (80 %–85 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (10 %), Staphylococcus aureus (4 %), Staphylococcus saprophyticus (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli not for this site
83 %
88 %
n = 76
meropenem MEM
trend · Escherichia coli reserve
82 %
82 %
n = 76
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
78 %
78 %
n = 76
ciprofloxacin CIP
trend · Escherichia coli
77 %
76 %
n = 76
mecillinam MEC
trend · Escherichia coli not for this site
77 %
78 %
n = 76
trimethoprim TMP
trend · Escherichia coli not for this site
75 %
78 %
n = 76
ceftriaxone CRO
trend · Escherichia coli
74 %
75 %
n = 76
70 %
70 %
n = 76
52 %
58 %
n = 76
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
14 %
17 %
n = 76
4 %
3 %
n = 76
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
8 %
n = 76

Most likely organisms for this profile

Escherichia coli
51 %
Klebsiella pneumoniae
13 %
Enterococcus faecalis
10 %
Proteus mirabilis
7 %
Citrobacter freundii
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.