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 % · 2026-09-13
Based on 370 first isolates · MED-B · Febrile UTI / pyelonephritis · 2025-09-14 → 2026-09-13
Internal medicine B
Per-organism detail: MED-B urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
piperacillin-tazobactam 83 % (79 %–87 %)
Keep for severe or hospital-onset infections.
Not covered: Enterococcus faecalis (8 %), Escherichia coli (2 %), Staphylococcus aureus (2 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
meropenem MEM
trend · Escherichia coli reserve
88 %
90 %
n = 39
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
83 %
87 %
n = 39
nitrofurantoin NIT
trend · Escherichia coli not for this site
83 %
90 %
n = 39
mecillinam MEC
trend · Escherichia coli not for this site
80 %
85 %
n = 39
ceftriaxone CRO
trend · Escherichia coli
79 %
82 %
n = 39
ciprofloxacin CIP
trend · Escherichia coli
77 %
74 %
n = 39
74 %
79 %
n = 39
trimethoprim TMP
trend · Escherichia coli not for this site
69 %
72 %
n = 39
46 %
54 %
n = 39
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
11 %
10 %
n = 39
5 %
5 %
n = 39
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
2 %
3 %
n = 39

Most likely organisms for this profile

Escherichia coli
60 %
Klebsiella pneumoniae
10 %
Enterococcus faecalis
8 %
Proteus mirabilis
6 %
Pseudomonas aeruginosa
5 %
Citrobacter freundii
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.