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 1111 first isolates · ED · Febrile UTI / pyelonephritis · 2025-02-02 → 2026-02-01
Emergency department
Per-organism detail: ED urine resistance view → ⚠ 1 active alert in ED: they are taken into account below. View alerts →
Narrowest option reaching 80 % coverage, no active warning
piperacillin-tazobactam 81 % (78 %–83 %)
Keep for severe or hospital-onset infections.
Not covered: Enterococcus faecalis (10 %), Staphylococcus aureus (3 %), Staphylococcus saprophyticus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli not for this site
85 %
83 %
n = 89
meropenem MEM
trend · Escherichia coli reserve
⚠ CPE case in the ward: carbapenem resistance possible
85 %
90 %
n = 89
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
81 %
85 %
n = 89
ciprofloxacin CIP
trend · Escherichia coli
78 %
81 %
n = 89
mecillinam MEC
trend · Escherichia coli not for this site
78 %
83 %
n = 89
ceftriaxone CRO
trend · Escherichia coli
76 %
81 %
n = 89
trimethoprim TMP
trend · Escherichia coli not for this site
73 %
74 %
n = 89
72 %
74 %
n = 89
54 %
46 %
n = 89
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
7 %
n = 89
5 %
7 %
n = 89
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
3 %
n = 89

Most likely organisms for this profile

Escherichia coli
57 %
Klebsiella pneumoniae
10 %
Enterococcus faecalis
10 %
Proteus mirabilis
6 %
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.