Sepsis antibiotics: Difference between revisions

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==Unknown Source ==
==Unknown Source ==
===Harbor-UCLA===
{| {{table}}
*'''Severe Sepsis'''
| align="center" style="background:#f0f0f0;"|''''''
**Comm. Acquired
| align="center" style="background:#f0f0f0;"|'''Harbor-UCLA'''
***[[Ceftriaxone]] 1 g IV
| align="center" style="background:#f0f0f0;"|'''Santa Monica-UCLA'''
***[[Vancomycin]] 1 g IV
|-
***[[Gentamicin]] 5mg/kg
| Community Acquired||[[Ceftriaxone]] 1 g IV + [[Vancomycin]] 1 g IV + [[Gentamicin]] 5mg/kg + [[Metronidazole]] 500mg g IV||
***[[Metronidazole]] 500mg g IV
* piperacillin/tazobactam 4.5g IV q6h OR cefepime 1g IV q8h OR meropenem 1g IV q8h +/- [[vancomycin]] 15mg/kg/dose IV q12h [Maximum dose of 1500mg] +/- gentamicin 7mg/kg/dose IV q24h +/- fluconazole 400mg IV q24h
**Health Care Associated
|-
***[[Cefepime]] 2 g IV
| Health Care Associated (or allergy)||
***[[Vancomycin]] 1 g IV
*Option 1: [[Cefepime]] 2 g IV + [[Vancomycin]] 1 g IV + [[Gentamicin]] 5-7 mg/kg + [[Metronidazole]] 500mg g IV  
***[[Gentamicin]] 5-7 mg/kg
*Option 2: *[[Meropenem]] 2 g IV *[[Vancomycin]] 1 g IV
***[[Metronidazole]] 500mg g IV
||[[aztreonam]] 2g IV q8h OR levofloxacin 750mg IV q24h +/- [[vancomycin]] 15mg/kg/dose IV q12h [Maximum dose of 1500mg] +/- gentamicin 7mg/kg/dose IV q24h +/- fluconazole 400mg IV q24h
*'''Septic Shock'''
|}
**Comm. Acquired
***[[Ceftriaxone]] 1 g IV
***[[Vancomycin]] 1 g IV
***[[Gentamicin]] 5mg/kg
***[[Metronidazole]] 500mg g IV
**Health Care Associated
***[[Meropenem]] 2 g IV
***[[Vancomycin]] 1 g IV
 
===Santa Monica-UCLA===
*Primary Therapy
** piperacillin/tazobactam 4.5g IV q6h OR cefepime 1g IV q8h OR meropenem 1g IV q8h
**+/- [[vancomycin]] 15mg/kg/dose IV q12h [Maximum dose of 1500mg]
**+/- gentamicin 7mg/kg/dose IV q24h
**+/- fluconazole 400mg IV q24h
*If allergy or prior exposure
** [[aztreonam]] 2g IV q8h OR levofloxacin 750mg IV q24h
**+/- [[vancomycin]] 15mg/kg/dose IV q12h [Maximum dose of 1500mg]
**+/- gentamicin 7mg/kg/dose IV q24h
**+/- fluconazole 400mg IV q24h


==Intra-Abdominal==
==Intra-Abdominal==

Revision as of 18:40, 7 May 2016

Unknown Source

' Harbor-UCLA Santa Monica-UCLA
Community Acquired Ceftriaxone 1 g IV + Vancomycin 1 g IV + Gentamicin 5mg/kg + Metronidazole 500mg g IV
  • piperacillin/tazobactam 4.5g IV q6h OR cefepime 1g IV q8h OR meropenem 1g IV q8h +/- vancomycin 15mg/kg/dose IV q12h [Maximum dose of 1500mg] +/- gentamicin 7mg/kg/dose IV q24h +/- fluconazole 400mg IV q24h
Health Care Associated (or allergy) aztreonam 2g IV q8h OR levofloxacin 750mg IV q24h +/- vancomycin 15mg/kg/dose IV q12h [Maximum dose of 1500mg] +/- gentamicin 7mg/kg/dose IV q24h +/- fluconazole 400mg IV q24h

Intra-Abdominal

Pneumosepsis

Urosepsis

Neutropenic

See Also

Antibiotics by diagnosis

For antibiotics by organism see Microbiology (Main)


References