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 % · 2025-08-17
Based on 524 first isolates · MED-A · Febrile UTI / pyelonephritis · 2024-08-18 → 2025-08-17
Internal medicine A
Per-organism detail: MED-A urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 85 % (81 %–88 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (10 %), Staphylococcus aureus (3 %), Staphylococcus saprophyticus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
85 %
82 %
n = 45
nitrofurantoin NIT
trend · Escherichia coli not for this site
81 %
84 %
n = 45
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
78 %
n = 45
mecillinam MEC
trend · Escherichia coli not for this site
78 %
80 %
n = 45
ciprofloxacin CIP
trend · Escherichia coli
78 %
78 %
n = 45
ceftriaxone CRO
trend · Escherichia coli
77 %
80 %
n = 45
72 %
78 %
n = 45
trimethoprim TMP
trend · Escherichia coli not for this site
70 %
71 %
n = 45
49 %
47 %
n = 45
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
16 %
n = 45
6 %
4 %
n = 45
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
4 %
n = 45

Most likely organisms for this profile

Escherichia coli
55 %
Enterococcus faecalis
10 %
Proteus mirabilis
9 %
Klebsiella pneumoniae
9 %
Pseudomonas aeruginosa
6 %
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.