How does the model account for local resistance patterns?

Scoring blends patient-specific history with unit- and facility-level resistance data, and is calibrated with each system's antimicrobial stewardship program.

Who is this built for — prescribers or stewardship teams?

Both. Prescribers see a patient-specific risk score at the point of empiric ordering; stewardship teams get a patient-level view layered on top of their existing facility-level antibiogram reporting.

How often is the resistance score updated?

The score updates as new culture and sensitivity data becomes available for the patient, and the underlying model is reviewed on an ongoing basis with each stewardship program.

Does this influence which antibiotic a clinician must prescribe?

No — it surfaces risk information at the point of prescribing. The choice of empiric therapy remains a clinical decision made by the prescriber, consistent with your stewardship program's guidelines.

Platform / AMR Resistance Scoring

AMR Resistance Scoring

Score antimicrobial resistance risk before the culture comes back.

Prescient scores the likelihood that a patient's infection involves antimicrobial-resistant organisms, giving prescribers a risk-informed starting point while culture and sensitivity results are still pending.

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Low

0–39

Moderate

40–64

High

65–84

Critical

85–100

The Problem

Why this matters

Empiric antibiotic selection often happens without a systematic view of a patient's individual resistance risk — driven instead by unit-level antibiograms alone, which miss patient-specific risk factors.

Inputs

What the model scores

Prior culture and sensitivity history for the patient
Recent antibiotic exposure and healthcare contact (facility transfers, prior admissions)
Unit-level and facility-level resistance patterns
Relevant comorbidities and device exposure (lines, catheters, ventilation)

Workflow

Where it shows up

Resistance risk score surfaces alongside the empiric prescribing workflow
Antimicrobial stewardship teams get a patient-level risk view, not just a unit antibiogram
Score updates as new culture data becomes available

A Typical Scenario

How This Plays Out

Hour 0
Suspected infection, cultures pending
A patient presents with signs of infection. Cultures are sent, but sensitivity results are 24–72 hours away — empiric therapy has to start now.
Hour 0
Resistance risk scored
Prior culture history, recent antibiotic exposure, facility transfer history, and local resistance patterns combine into a patient-specific AMR risk score.
Hour 1
Prescriber reviews the score
The empiric prescribing workflow shows the resistance risk alongside standard antibiogram guidance — a more specific starting point than the unit average alone.
Hour 48
Culture results confirm or adjust
As sensitivity results return, the stewardship team reviews therapy alignment; the score updates for the next patient in a similar situation.

Data Flow

How Data Becomes a Risk Score

Culture & Exposure History

Prior cultures, antibiotic exposure, and facility transfer history.

Resistance Scoring

Patient-specific risk blended with local resistance patterns.

Empiric Prescribing View

Resistance risk surfaces alongside the antibiogram at order time.

Stewardship Review

Culture results confirm or adjust; the score updates going forward.

The Difference

Without vs. With AMR Resistance Scoring

	Without Prescient	With Prescient
Empiric therapy basis	Unit-level antibiogram only	Patient-specific resistance risk plus the antibiogram
Timing	No resistance signal until cultures return	Risk-informed score available at the point of prescribing
Stewardship visibility	Facility-level resistance trends only	Patient-level risk view alongside facility trends
Feedback loop	Culture results reviewed case-by-case	Results feed back into the scoring for similar future cases

Evidence & Validation

Scoring is developed in partnership with each system's antimicrobial stewardship program and validated against local resistance patterns.

Results snapshotPlaceholder — pending customer publication

Resistance-informed empiric therapy

A stewardship program tracked alignment between empiric antibiotic selection and eventual culture-confirmed sensitivity, before and after resistance scoring was introduced at the point of prescribing.

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