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 % · 2026-08-30
Based on 499 first isolates · MED-A · Febrile UTI / pyelonephritis · 2025-08-31 → 2026-08-30
Internal medicine A
Per-organism detail: MED-A urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
meropenem 83 % (80 %–86 %)
Carbapenem: reserve for ESBL / critically ill patients.
Not covered: Enterococcus faecalis (10 %), Staphylococcus aureus (3 %), Staphylococcus saprophyticus (3 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
83 %
84 %
n = 37
nitrofurantoin NIT
trend · Escherichia coli not for this site
83 %
81 %
n = 37
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
80 %
81 %
n = 37
ciprofloxacin CIP
trend · Escherichia coli
78 %
84 %
n = 37
ceftriaxone CRO
trend · Escherichia coli
77 %
81 %
n = 37
mecillinam MEC
trend · Escherichia coli not for this site
76 %
76 %
n = 37
72 %
73 %
n = 37
trimethoprim TMP
trend · Escherichia coli not for this site
67 %
62 %
n = 37
48 %
54 %
n = 37
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
13 %
16 %
n = 37
4 %
3 %
n = 37
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
0 %
n = 37

Most likely organisms for this profile

Escherichia coli
56 %
Klebsiella pneumoniae
12 %
Enterococcus faecalis
10 %
Proteus mirabilis
6 %
Citrobacter freundii
4 %
Pseudomonas aeruginosa
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.