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 % · 2026-02-08
Based on 493 first isolates · MED-A · Febrile UTI / pyelonephritis · 2025-02-09 → 2026-02-08
Internal medicine A
Per-organism detail: MED-A urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
piperacillin-tazobactam 82 % (78 %–85 %)
Keep for severe or hospital-onset infections.
Not covered: Enterococcus faecalis (10 %), Staphylococcus aureus (3 %), Escherichia coli (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
86 %
92 %
n = 39
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
82 %
87 %
n = 39
nitrofurantoin NIT
trend · Escherichia coli not for this site
82 %
72 %
n = 39
ciprofloxacin CIP
trend · Escherichia coli
79 %
85 %
n = 39
mecillinam MEC
trend · Escherichia coli not for this site
78 %
79 %
n = 39
ceftriaxone CRO
trend · Escherichia coli
78 %
74 %
n = 39
73 %
67 %
n = 39
trimethoprim TMP
trend · Escherichia coli not for this site
68 %
64 %
n = 39
48 %
31 %
n = 39
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
12 %
8 %
n = 39
5 %
13 %
n = 39
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
0 %
n = 39

Most likely organisms for this profile

Escherichia coli
56 %
Klebsiella pneumoniae
12 %
Enterococcus faecalis
10 %
Proteus mirabilis
7 %
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.