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 % · 2026-04-05
Based on 1108 first isolates · ED · Febrile UTI / pyelonephritis · 2025-04-06 → 2026-04-05
Emergency department
Per-organism detail: ED urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
piperacillin-tazobactam 80 % (78 %–82 %)
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
nitrofurantoin NIT
trend · Escherichia coli not for this site
85 %
82 %
n = 84
meropenem MEM
trend · Escherichia coli reserve
84 %
80 %
n = 84
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
79 %
n = 84
ciprofloxacin CIP
trend · Escherichia coli
78 %
71 %
n = 84
mecillinam MEC
trend · Escherichia coli not for this site
77 %
70 %
n = 84
ceftriaxone CRO
trend · Escherichia coli
75 %
69 %
n = 84
trimethoprim TMP
trend · Escherichia coli not for this site
72 %
65 %
n = 84
71 %
63 %
n = 84
52 %
42 %
n = 84
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
18 %
n = 84
5 %
8 %
n = 84
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
5 %
n = 84

Most likely organisms for this profile

Escherichia coli
55 %
Klebsiella pneumoniae
11 %
Enterococcus faecalis
10 %
Proteus mirabilis
6 %
Pseudomonas aeruginosa
6 %
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.