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

Based on 429 first isolates · GER · Febrile UTI / pyelonephritis · 2024-05-26 → 2025-05-25
Geriatrics
Per-organism detail: GER urine resistance view → ⚠ 1 active alert in GER: they are taken into account below. View alerts →
No single agent reaches 80 % coverage for this profile. Highest coverage without active warning:
piperacillin-tazobactam 79 % (75 %–83 %)
Best two-drug combination: vancomycin + piperacillin-tazobactam covers 93 % (90 %–95 %)
Take cultures before treatment; consider a combination and discuss with infectious diseases if the patient is severely ill.
Not covered: Enterococcus faecalis (9 %), Staphylococcus aureus (5 %), Escherichia coli (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
⚠ CPE case in the ward: carbapenem resistance possible
84 %
83 %
n = 40
nitrofurantoin NIT
trend · Escherichia coli not for this site
83 %
88 %
n = 40
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
80 %
n = 40
mecillinam MEC
trend · Escherichia coli not for this site
76 %
80 %
n = 40
ciprofloxacin CIP
trend · Escherichia coli
76 %
73 %
n = 40
ceftriaxone CRO
trend · Escherichia coli
75 %
68 %
n = 40
71 %
63 %
n = 40
trimethoprim TMP
trend · Escherichia coli not for this site
69 %
57 %
n = 40
49 %
48 %
n = 40
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
14 %
10 %
n = 40
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
5 %
3 %
n = 40
4 %
5 %
n = 40

Most likely organisms for this profile

Escherichia coli
57 %
Klebsiella pneumoniae
9 %
Enterococcus faecalis
9 %
Proteus mirabilis
7 %
Staphylococcus aureus
5 %
Pseudomonas aeruginosa
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.