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 % · 2026-08-16
Based on 377 first isolates · MED-B · Febrile UTI / pyelonephritis · 2025-08-17 → 2026-08-16
Internal medicine B
Per-organism detail: MED-B urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
piperacillin-tazobactam 84 % (79 %–87 %)
Keep for severe or hospital-onset infections.
Not covered: Enterococcus faecalis (8 %), Staphylococcus aureus (2 %), Escherichia coli (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
88 %
89 %
n = 27
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
84 %
81 %
n = 27
nitrofurantoin NIT
trend · Escherichia coli not for this site
82 %
81 %
n = 27
mecillinam MEC
trend · Escherichia coli not for this site
80 %
85 %
n = 27
ceftriaxone CRO
trend · Escherichia coli
80 %
74 %
n = 27
ciprofloxacin CIP
trend · Escherichia coli
78 %
81 %
n = 27
73 %
74 %
n = 27
trimethoprim TMP
trend · Escherichia coli not for this site
70 %
85 %
n = 27
45 %
37 %
n = 27
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
11 %
7 %
n = 27
5 %
4 %
n = 27
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
2 %
4 %
n = 27

Most likely organisms for this profile

Escherichia coli
59 %
Klebsiella pneumoniae
10 %
Enterococcus faecalis
8 %
Proteus mirabilis
6 %
Citrobacter freundii
5 %
Pseudomonas aeruginosa
5 %

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.