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 % · 2025-08-03
Based on 658 first isolates · URO · Febrile UTI / pyelonephritis · 2024-08-04 → 2025-08-03
Urology
Per-organism detail: URO urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 85 % (82 %–87 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (9 %), Staphylococcus aureus (3 %), Staphylococcus saprophyticus (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
85 %
82 %
n = 62
nitrofurantoin NIT
trend · Escherichia coli not for this site
84 %
82 %
n = 62
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
76 %
n = 62
mecillinam MEC
trend · Escherichia coli not for this site
78 %
74 %
n = 62
ciprofloxacin CIP
trend · Escherichia coli
74 %
74 %
n = 62
ceftriaxone CRO
trend · Escherichia coli
73 %
71 %
n = 62
trimethoprim TMP
trend · Escherichia coli not for this site
66 %
65 %
n = 62
66 %
65 %
n = 62
45 %
40 %
n = 62
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
12 %
16 %
n = 62
4 %
6 %
n = 62
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
3 %
n = 62

Most likely organisms for this profile

Escherichia coli
58 %
Klebsiella pneumoniae
12 %
Enterococcus faecalis
9 %
Proteus mirabilis
6 %
Pseudomonas aeruginosa
4 %
Staphylococcus aureus
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.