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 % · 2025-06-01
Based on 641 first isolates · URO · Febrile UTI / pyelonephritis · 2024-06-02 → 2025-06-01
Urology
Per-organism detail: URO urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 84 % (81 %–86 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (11 %), Staphylococcus saprophyticus (3 %), Staphylococcus aureus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
84 %
75 %
n = 59
nitrofurantoin NIT
trend · Escherichia coli not for this site
83 %
81 %
n = 59
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
69 %
n = 59
ciprofloxacin CIP
trend · Escherichia coli
76 %
71 %
n = 59
mecillinam MEC
trend · Escherichia coli not for this site
76 %
68 %
n = 59
ceftriaxone CRO
trend · Escherichia coli
75 %
68 %
n = 59
trimethoprim TMP
trend · Escherichia coli not for this site
68 %
58 %
n = 59
68 %
64 %
n = 59
49 %
63 %
n = 59
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
24 %
n = 59
5 %
3 %
n = 59
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
2 %
2 %
n = 59

Most likely organisms for this profile

Escherichia coli
57 %
Klebsiella pneumoniae
11 %
Enterococcus faecalis
11 %
Proteus mirabilis
6 %
Pseudomonas aeruginosa
5 %
Citrobacter freundii
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.