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 518 first isolates · MED-A · Febrile UTI / pyelonephritis · 2024-04-07 → 2025-04-06
Internal medicine A
Per-organism detail: MED-A urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
piperacillin-tazobactam 81 % (77 %–84 %)
Keep for severe or hospital-onset infections.
Not covered: Enterococcus faecalis (9 %), Staphylococcus aureus (4 %), Escherichia coli (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
86 %
79 %
n = 42
nitrofurantoin NIT
trend · Escherichia coli not for this site
82 %
71 %
n = 42
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
81 %
74 %
n = 42
ciprofloxacin CIP
trend · Escherichia coli
79 %
76 %
n = 42
mecillinam MEC
trend · Escherichia coli not for this site
79 %
74 %
n = 42
ceftriaxone CRO
trend · Escherichia coli
78 %
71 %
n = 42
72 %
69 %
n = 42
trimethoprim TMP
trend · Escherichia coli not for this site
71 %
64 %
n = 42
47 %
60 %
n = 42
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
19 %
n = 42
5 %
5 %
n = 42
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
2 %
n = 42

Most likely organisms for this profile

Escherichia coli
57 %
Enterococcus faecalis
9 %
Klebsiella pneumoniae
9 %
Proteus mirabilis
8 %
Pseudomonas aeruginosa
5 %
Klebsiella oxytoca
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.