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 % · 2025-03-16
Based on 1248 first isolates · PHC-N · Febrile UTI / pyelonephritis · 2024-03-17 → 2025-03-16
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 (12 %), Staphylococcus aureus (3 %), Staphylococcus saprophyticus (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli not for this site
83 %
84 %
n = 109
meropenem MEM
trend · Escherichia coli reserve
83 %
83 %
n = 109
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
80 %
n = 109
ciprofloxacin CIP
trend · Escherichia coli
77 %
79 %
n = 109
mecillinam MEC
trend · Escherichia coli not for this site
76 %
76 %
n = 109
ceftriaxone CRO
trend · Escherichia coli
76 %
77 %
n = 109
71 %
68 %
n = 109
trimethoprim TMP
trend · Escherichia coli not for this site
70 %
73 %
n = 109
51 %
58 %
n = 109
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
15 %
15 %
n = 109
4 %
4 %
n = 109
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
3 %
n = 109

Most likely organisms for this profile

Escherichia coli
51 %
Klebsiella pneumoniae
13 %
Enterococcus faecalis
12 %
Proteus mirabilis
8 %
Pseudomonas aeruginosa
5 %
Citrobacter freundii
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.