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 642 first isolates · URO · Febrile UTI / pyelonephritis · 2024-04-07 → 2025-04-06
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 %
88 %
n = 43
nitrofurantoin NIT
trend · Escherichia coli not for this site
84 %
95 %
n = 43
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
86 %
n = 43
mecillinam MEC
trend · Escherichia coli not for this site
76 %
88 %
n = 43
ceftriaxone CRO
trend · Escherichia coli
76 %
84 %
n = 43
ciprofloxacin CIP
trend · Escherichia coli
76 %
74 %
n = 43
trimethoprim TMP
trend · Escherichia coli not for this site
71 %
72 %
n = 43
69 %
74 %
n = 43
47 %
51 %
n = 43
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
12 %
12 %
n = 43
4 %
0 %
n = 43
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
0 %
n = 43

Most likely organisms for this profile

Escherichia coli
57 %
Klebsiella pneumoniae
12 %
Enterococcus faecalis
9 %
Proteus mirabilis
6 %
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.