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 % · 2025-04-06
Based on 409 first isolates · GER · Febrile UTI / pyelonephritis · 2024-04-07 → 2025-04-06
Geriatrics
Per-organism detail: GER urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 83 % (79 %–87 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (10 %), Staphylococcus aureus (4 %), Staphylococcus saprophyticus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
83 %
87 %
n = 39
nitrofurantoin NIT
trend · Escherichia coli not for this site
83 %
82 %
n = 39
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
85 %
n = 39
ceftriaxone CRO
trend · Escherichia coli
76 %
79 %
n = 39
ciprofloxacin CIP
trend · Escherichia coli
76 %
69 %
n = 39
mecillinam MEC
trend · Escherichia coli not for this site
75 %
79 %
n = 39
71 %
77 %
n = 39
trimethoprim TMP
trend · Escherichia coli not for this site
67 %
69 %
n = 39
50 %
41 %
n = 39
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
15 %
10 %
n = 39
4 %
3 %
n = 39
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
3 %
n = 39

Most likely organisms for this profile

Escherichia coli
57 %
Enterococcus faecalis
10 %
Klebsiella pneumoniae
10 %
Proteus mirabilis
7 %
Staphylococcus aureus
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.