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 115 first isolates · ICU · Skin / wound infection · 2024-04-07 → 2025-04-06
Intensive care unit
Per-organism detail: ICU wound resistance view →
No single agent reaches 80 % coverage for this profile. Highest coverage without active warning:
vancomycin 50 % (41 %–59 %)
Best two-drug combination: vancomycin + meropenem covers 98 % (94 %–100 %)
Take cultures before treatment; consider a combination and discuss with infectious diseases if the patient is severely ill.
Not covered: Escherichia coli (14 %), Pseudomonas aeruginosa (14 %), Proteus mirabilis (10 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
vancomycin VAN
trend · Staphylococcus aureus Gram-positive only
50 %
88 %
n = 8
meropenem MEM
trend · Escherichia coli reserve
49 %
13 %
n = 8
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
47 %
13 %
n = 8
ciprofloxacin CIP
trend · Escherichia coli
42 %
13 %
n = 8
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
36 %
50 %
n = 8
ceftriaxone CRO
trend · Escherichia coli
35 %
13 %
n = 8
30 %
25 %
n = 8
30 %
13 %
n = 8
11 %
0 %
n = 8
mecillinam MEC
not for this site
0 %
0 %
n = 8
trimethoprim TMP
not for this site
0 %
0 %
n = 8
nitrofurantoin NIT
not for this site
0 %
0 %
n = 8

Most likely organisms for this profile

Staphylococcus aureus
38 %
Escherichia coli
14 %
Pseudomonas aeruginosa
14 %
Enterococcus faecalis
11 %
Proteus mirabilis
10 %
Klebsiella pneumoniae
7 %

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.