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 % · 2025-08-24
Based on 655 first isolates · URO · Cystitis (lower UTI) · 2024-08-25 → 2025-08-24
Urology
Per-organism detail: URO urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
nitrofurantoin 84 % (81 %–87 %)
No tissue or blood levels: cystitis only.
Not covered: Proteus mirabilis (5 %), Klebsiella pneumoniae (5 %), Pseudomonas aeruginosa (4 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
85 %
88 %
n = 58
nitrofurantoin NIT
trend · Escherichia coli lower UTI only
84 %
83 %
n = 58
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
78 %
n = 58
mecillinam MEC
trend · Escherichia coli lower UTI only
78 %
83 %
n = 58
ciprofloxacin CIP
trend · Escherichia coli
74 %
76 %
n = 58
ceftriaxone CRO
trend · Escherichia coli
73 %
81 %
n = 58
67 %
74 %
n = 58
trimethoprim TMP
trend · Escherichia coli lower UTI only
66 %
74 %
n = 58
45 %
48 %
n = 58
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
12 %
10 %
n = 58
4 %
3 %
n = 58
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
3 %
n = 58

Most likely organisms for this profile

Escherichia coli
58 %
Klebsiella pneumoniae
13 %
Enterococcus faecalis
9 %
Proteus mirabilis
5 %
Pseudomonas aeruginosa
4 %
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.