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 % · 2025-05-04
Based on 1095 first isolates · ED · Febrile UTI / pyelonephritis · 2024-05-05 → 2025-05-04
Emergency department
Per-organism detail: ED urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
piperacillin-tazobactam 81 % (78 %–83 %)
Keep for severe or hospital-onset infections.
Not covered: Enterococcus faecalis (9 %), Staphylococcus aureus (3 %), Escherichia coli (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
85 %
84 %
n = 87
nitrofurantoin NIT
trend · Escherichia coli not for this site
84 %
84 %
n = 87
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
81 %
76 %
n = 87
ciprofloxacin CIP
trend · Escherichia coli
79 %
78 %
n = 87
mecillinam MEC
trend · Escherichia coli not for this site
78 %
74 %
n = 87
ceftriaxone CRO
trend · Escherichia coli
78 %
69 %
n = 87
trimethoprim TMP
trend · Escherichia coli not for this site
74 %
68 %
n = 87
73 %
64 %
n = 87
53 %
53 %
n = 87
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
12 %
14 %
n = 87
5 %
10 %
n = 87
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
5 %
n = 87

Most likely organisms for this profile

Escherichia coli
55 %
Klebsiella pneumoniae
10 %
Enterococcus faecalis
9 %
Proteus mirabilis
7 %
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.