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 % · 2025-11-09
Based on 657 first isolates · URO · Febrile UTI / pyelonephritis · 2024-11-10 → 2025-11-09
Urology
Per-organism detail: URO urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 83 % (80 %–86 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (11 %), Staphylococcus aureus (4 %), Staphylococcus saprophyticus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli not for this site
87 %
86 %
n = 43
meropenem MEM
trend · Escherichia coli reserve
83 %
84 %
n = 43
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
79 %
n = 43
mecillinam MEC
trend · Escherichia coli not for this site
77 %
77 %
n = 43
ceftriaxone CRO
trend · Escherichia coli
72 %
81 %
n = 43
ciprofloxacin CIP
trend · Escherichia coli
72 %
74 %
n = 43
66 %
77 %
n = 43
trimethoprim TMP
trend · Escherichia coli not for this site
65 %
65 %
n = 43
46 %
63 %
n = 43
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
15 %
16 %
n = 43
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
5 %
n = 43
3 %
2 %
n = 43

Most likely organisms for this profile

Escherichia coli
58 %
Klebsiella pneumoniae
12 %
Enterococcus faecalis
11 %
Proteus mirabilis
5 %
Staphylococcus aureus
4 %
Pseudomonas aeruginosa
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.