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

Based on 454 first isolates · GER · Febrile UTI / pyelonephritis · 2024-08-25 → 2025-08-24
Geriatrics
Per-organism detail: GER urine resistance view → ⚠ 1 active alert in GER: they are taken into account below. View alerts →
Narrowest option reaching 80 % coverage, no active warning
meropenem 84 % (81 %–87 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (9 %), Staphylococcus aureus (4 %), Staphylococcus saprophyticus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
84 %
91 %
n = 57
nitrofurantoin NIT
trend · Escherichia coli not for this site
83 %
81 %
n = 57
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
84 %
n = 57
mecillinam MEC
trend · Escherichia coli not for this site
77 %
84 %
n = 57
ceftriaxone CRO
trend · Escherichia coli
77 %
86 %
n = 57
ciprofloxacin CIP
trend · Escherichia coli
76 %
86 %
n = 57
72 %
82 %
n = 57
trimethoprim TMP
trend · Escherichia coli not for this site
70 %
74 %
n = 57
49 %
56 %
n = 57
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
9 %
n = 57
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
0 %
n = 57
3 %
4 %
n = 57

Most likely organisms for this profile

Escherichia coli
57 %
Klebsiella pneumoniae
10 %
Enterococcus faecalis
9 %
Proteus mirabilis
7 %
Citrobacter freundii
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.