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 % · 2026-09-20
Based on 425 first isolates · GER · Cystitis (lower UTI) · 2025-09-21 → 2026-09-20
Geriatrics
Per-organism detail: GER urine resistance view → ⚠ 1 active alert in GER: they are taken into account below. View alerts →
Narrowest option reaching 80 % coverage, no active warning
nitrofurantoin 82 % (78 %–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
85 %
91 %
n = 32
nitrofurantoin NIT
trend · Escherichia coli lower UTI only
82 %
63 %
n = 32
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
81 %
78 %
n = 32
mecillinam MEC
trend · Escherichia coli lower UTI only
77 %
78 %
n = 32
ciprofloxacin CIP
trend · Escherichia coli
77 %
78 %
n = 32
ceftriaxone CRO
trend · Escherichia coli
75 %
78 %
n = 32
72 %
75 %
n = 32
trimethoprim TMP
trend · Escherichia coli lower UTI only
65 %
69 %
n = 32
48 %
44 %
n = 32
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
⚠ VRE case in the ward
12 %
6 %
n = 32
5 %
6 %
n = 32
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
3 %
0 %
n = 32

Most likely organisms for this profile

Escherichia coli
58 %
Klebsiella pneumoniae
11 %
Enterococcus faecalis
9 %
Proteus mirabilis
6 %
Pseudomonas aeruginosa
5 %
Klebsiella oxytoca
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.