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 1252 first isolates · PHC-S · Febrile UTI / pyelonephritis · 2024-09-15 → 2025-09-14
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
meropenem 81 % (79 %–84 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (11 %), Staphylococcus aureus (4 %), Staphylococcus saprophyticus (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli not for this site
82 %
84 %
n = 108
meropenem MEM
trend · Escherichia coli reserve
81 %
84 %
n = 108
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
78 %
83 %
n = 108
ciprofloxacin CIP
trend · Escherichia coli
76 %
81 %
n = 108
mecillinam MEC
trend · Escherichia coli not for this site
74 %
75 %
n = 108
ceftriaxone CRO
trend · Escherichia coli
74 %
79 %
n = 108
trimethoprim TMP
trend · Escherichia coli not for this site
71 %
72 %
n = 108
69 %
76 %
n = 108
52 %
57 %
n = 108
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
⚠ VRE case in the ward
15 %
11 %
n = 108
5 %
5 %
n = 108
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
3 %
n = 108

Most likely organisms for this profile

Escherichia coli
49 %
Klebsiella pneumoniae
13 %
Enterococcus faecalis
11 %
Proteus mirabilis
8 %
Pseudomonas aeruginosa
5 %
Citrobacter freundii
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.