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 669 first isolates · URO · Febrile UTI / pyelonephritis · 2024-02-18 → 2025-02-16
Urology
Per-organism detail: URO urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 84 % (81 %–87 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (9 %), Staphylococcus saprophyticus (3 %), Staphylococcus aureus (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
84 %
89 %
n = 47
nitrofurantoin NIT
trend · Escherichia coli not for this site
82 %
87 %
n = 47
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
85 %
n = 47
ceftriaxone CRO
trend · Escherichia coli
77 %
81 %
n = 47
mecillinam MEC
trend · Escherichia coli not for this site
76 %
85 %
n = 47
ciprofloxacin CIP
trend · Escherichia coli
75 %
83 %
n = 47
trimethoprim TMP
trend · Escherichia coli not for this site
72 %
68 %
n = 47
71 %
68 %
n = 47
49 %
43 %
n = 47
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
12 %
4 %
n = 47
4 %
2 %
n = 47
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
2 %
n = 47

Most likely organisms for this profile

Escherichia coli
57 %
Klebsiella pneumoniae
12 %
Enterococcus faecalis
9 %
Proteus mirabilis
7 %
Pseudomonas aeruginosa
4 %
Staphylococcus saprophyticus
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.