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 % · 2025-04-13
Based on 1225 first isolates · PHC-S · Febrile UTI / pyelonephritis · 2024-04-14 → 2025-04-13
Health centre South
Per-organism detail: PHC-S urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 81 % (79 %–83 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (12 %), Staphylococcus aureus (4 %), Staphylococcus saprophyticus (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli not for this site
82 %
82 %
n = 104
meropenem MEM
trend · Escherichia coli reserve
81 %
78 %
n = 104
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
77 %
78 %
n = 104
ciprofloxacin CIP
trend · Escherichia coli
76 %
75 %
n = 104
mecillinam MEC
trend · Escherichia coli not for this site
75 %
70 %
n = 104
trimethoprim TMP
trend · Escherichia coli not for this site
74 %
67 %
n = 104
ceftriaxone CRO
trend · Escherichia coli
73 %
74 %
n = 104
69 %
70 %
n = 104
52 %
56 %
n = 104
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
16 %
18 %
n = 104
4 %
4 %
n = 104
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
4 %
n = 104

Most likely organisms for this profile

Escherichia coli
49 %
Klebsiella pneumoniae
14 %
Enterococcus faecalis
12 %
Proteus mirabilis
8 %
Pseudomonas aeruginosa
5 %
Staphylococcus aureus
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.