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 % · 2026-05-10
Based on 483 first isolates · MED-A · Cystitis (lower UTI) · 2025-05-11 → 2026-05-10
Internal medicine A
Per-organism detail: MED-A urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
nitrofurantoin 83 % (79 %–86 %)
No tissue or blood levels: cystitis only.
Not covered: Proteus mirabilis (6 %), Pseudomonas aeruginosa (5 %), Klebsiella pneumoniae (5 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
84 %
72 %
n = 39
nitrofurantoin NIT
trend · Escherichia coli lower UTI only
83 %
87 %
n = 39
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
64 %
n = 39
ceftriaxone CRO
trend · Escherichia coli
77 %
64 %
n = 39
ciprofloxacin CIP
trend · Escherichia coli
77 %
56 %
n = 39
mecillinam MEC
trend · Escherichia coli lower UTI only
77 %
62 %
n = 39
71 %
62 %
n = 39
trimethoprim TMP
trend · Escherichia coli lower UTI only
67 %
69 %
n = 39
47 %
54 %
n = 39
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
18 %
n = 39
5 %
5 %
n = 39
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
3 %
n = 39

Most likely organisms for this profile

Escherichia coli
55 %
Klebsiella pneumoniae
12 %
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.