Harbor:Sepsis antibiotics
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Unknown Source
- Comm. Acquired
- Vanco 1 g IV
- Ceftriaxone 1 g IV
- Metronidazole 1.5 g IV
- Gentamicin 5mg/kg
- Healthcare Assoc.
- Vanco 1 gm IV
- Cefepime 2g gm IV
- Metronidazole 1.5 g IV
- Gentamicin 5-7 mg/kg
- Cephalosporin allergy
- Vanco 1 gm IV
- Metronidazole 1.5 g IV
- Gentamicin 5-7 mg/kg IV
- Levofloxacin 750mg IV or Meropenem or Imipenem 1gm IV q6hrs
Pneumonia (Community)
- Comm. Acquired
- Ceftriaxone 1 gm IV
- Azithromycin 500 mg IV OR Doxycycline 100mg IV
- Cephalosporin allergy
- Moxifloxacin 400 mg IV OR Levofloxacin 750mg IV
Pneumonia (Healthcare Assoc/Pseudomonas Risk)
- Healthcare Assoc.
- Cefipime 2 g IV
- Cipro 400 mg IV
- Clinda 600 mg IV
- Cephalosporin allergy
- Clinda 600 mg IV
- Cipro 400 mg IV
- Gentamicin 5-7 mg/kg IV
Abdominal/Pelvic
- Comm. Acquired
- Ceftriaxone 1 g IV
- Metronidazole 1.5 g IV
- Gentamicin 5-7 mg/kg IV
- Healthcare Assoc.
- Ceftazidime 2 g IV
- Gentamicin 5 mg/kg IV
- Metronidazole 1.5 mg IV
- Cephalosporin allergy
- Cipro 400 mg IV
- Metronidazole 1.5 g IV
- Gentamicin 5-7 mg/kg IV
Urosepsis
- Comm. Acquired
- Ceftriaxone 1 g IV
- Gentamicin 5-7 mg/kg IV
- Healthcare Assoc.
- Vancomycin 1 g IV
- Ceftazidime 1g IV
- Gentamicin 5-7 mg/kg IV
- Cephalosporin allergy
- Vancomycin 1g IV
- Cipro 400 mg IV
- Gentamicin 5 mg/kg IV
Meningitis (Nl/Community)
- Comm. Acquired
- Ceftriaxone 2 g IV
- Vancomycin 1.5 g IV
- Cephalosporin allergy
- Chloramphenicol 1 g IV
- Vancomycin 1.5g IV
Meningitis (Nl/Post neurosurgical)
- Healthcare Assoc.
- Vanco 1.5 g IV
- Cefepime 2 g IV
- Cephalosporin allergy
- Vanco 1.5g IV
- Cipro 400mg IV
Meningitis (Immunocomp)
(Cirrhosis, EtoH, age > 65, steroids, HIV)
- Comm. Acquired
- Penicillin G 4M Units IV
- Ceftriaxone 2 g IV
- Vancomycin 1g IV
- Cephalosporin allergy
- Chloramphenicol 1g IV
- Trim/sulfa 10mg/kg IV
- Vancomycin 1.5g IV
Necrotizing Soft-tissue Infection
- Comm. Acquired/Healthcare Assoc.
- Vanco 1 gm IV
- Ceftriaxone 1 gm IV
- Clinda 600 mg IV
- Consider: Gent 5-7mg/k IV
- Healthcare Assoc.
- Vancomycin 1g IV
- Piperacillin/Tazobactam 3.375g IV
- Clindamycin 600mg IV
- Cephalosporin allergy
- Vanco 1 gm IV
- Clinda 600 mg IV
- Cipro 400 mg IV
- Gentamicin 5-7mg/kg
Source
Adapted by DONALDSON from Harbor-UCLA Abx-Review Committee (Rev. 07/27/06)