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 % · 2025-08-10
Based on 1260 first isolates · PHC-S · Cystitis (lower UTI) · 2024-08-11 → 2025-08-10
Health centre South
Per-organism detail: PHC-S urine resistance view → ⚠ 1 active alert in PHC-S: they are taken into account below. View alerts →
Narrowest option reaching 80 % coverage, no active warning
nitrofurantoin 81 % (79 %–83 %)
No tissue or blood levels: cystitis only.
Not covered: Proteus mirabilis (8 %), Pseudomonas aeruginosa (5 %), Klebsiella pneumoniae (4 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
⚠ CPE case in the ward: carbapenem resistance possible
81 %
80 %
n = 137
nitrofurantoin NIT
trend · Escherichia coli lower UTI only
81 %
80 %
n = 137
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
77 %
76 %
n = 137
ciprofloxacin CIP
trend · Escherichia coli
75 %
74 %
n = 137
mecillinam MEC
trend · Escherichia coli lower UTI only
74 %
74 %
n = 137
ceftriaxone CRO
trend · Escherichia coli
73 %
75 %
n = 137
trimethoprim TMP
trend · Escherichia coli lower UTI only
71 %
65 %
n = 137
69 %
71 %
n = 137
51 %
58 %
n = 137
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
16 %
15 %
n = 137
5 %
5 %
n = 137
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
2 %
n = 137

Most likely organisms for this profile

Escherichia coli
48 %
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.