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02/14/2018 at 7:43 PM #39919
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–Vancomycin Zosyn Azithromycin
Antibiotic Protocol for Empiric Therapy of – Nebraska Medicine plus cefepime OR ii. Vancomycin plus piperacillin/tazobactam iii. Consider addition of the following agents based on risk factors, clinical presentation, history of resistant pathogen isolation, and severity of illness: 1. Azithromycin if concern for nbsp; Community-Acquired Pneumonia Empiric Therapy: Empiric Therapy Levofloxacin 750 mg IV q24h or. Moxifloxacin 400 mg IV or PO q24h. If received prior antibiotic within 3 months: High-dose ampicillin 2 g IV q6h (or penicillin G, if not resistant); if penicillin allergic, substitute with vancomycin 1 g IV q12h plus. Azithromycin 500 mg IV q24h plus. Levofloxacin 750 mg IV q24h nbsp; Sepsis Antibiotic Chart – OHSU and clindamycin meropenem . Community Acquired Pneumonia. Host. Antibiotic. Normal azithromycin and ceftriaxone moxifloxacin alone if allergic to beta lactams. Abdominal Infection. Immunocompromised azithromycin and ceftriaxone. Normal. Pneumonia: antibiotic therapy recommendations – GlobalRPh 500mg IV once daily OR Levofloxacin 750 mg IV/PO once daily (OR) Moxifloxacin 400mg IV qd. PLUS Vancomycin – (patient-specific regimen – trough goal 15-20 nbsp; Severe Sepsis and Septic Shock Antibiotic Guide 15mg/kg. Linezolid 600mg IV Q12H. PLUS. Levofloxacin 750mg IV Q24H. If fluoroquinolone allergy: Azithromycin 500mg IV Q24H plus. Tobramycin 7mg/kg IV Q24H – if at risk of P. aeruginosa infection. Urinary Tract Infection. Piperacillin-tazobactam 4. 5g IV. Q8H extended infusion. Meropenem 1g IV Q8H. Treatment of community-acquired pneumonia in adults who require For the second agent, an alternative to azithromycin is a respiratory fluoroquinolone (levofloxacin 750 mg daily or moxifloxacin 400 mg daily). In such patients, we recommend treatment for MRSA with the addition of vancomycin (15 mg/kg IV every 12 hours, adjusted to a trough level of 15 to 20 mcg/mL nbsp; ANTIBIOTICS REVIEW / ZOSYN . Note Zosyn 39;s higher dosing for PNA/Pseudomonas coverage: 4. 5 g q6 hrs (vs. Used for: Ceftriaxone used in many situations including community acquired PNA (with Azithromycin), meningitis (CTX has excellent CSF penetration), spontaneous nbsp; and IV to PO Conversion – Columbia University Medical Center NON-ICU ADMISSION. ICU ADMISSION. Empiric Antibiotic Therapy Options for CAP and Recommendations for PO Conversion. Ceftriaxone 1 g IV daily. . Azithromycin 500 mg. PO x 1, then 250 mg. PO daily x 4 more days. Piperacillin/tazobactam (Zosyn). 4. 5 g IV Q8h 4. . Azithromycin 500 mg PO x 1, nbsp; Evidence-based treatment for severe community-acquired pneumonia The most commonly used antibiotics for CAP are azithromycin, beta-lactams, and respiratory fluoroquinolones (levofloxacin and moxifloxacin). For example, a regimen of piperacillin-tazobactam (Zosyn) monotherapy or vancomycin plus piperacillin-tazobactam ( Vosyn ) is inadequate because it lacks nbsp; Recommended Adult IV amp; PO Antibiotics and Dosing Guidelines 500 mg IV q24h. Pseudomonas Risk. Zosyn 3. 375 g IV over 4 hr q8h. Ciprofloxacin 400 mg IV q8h. Add Vancomycin if MRSA suspected.
Cellulitis Johns Hopkins ABX Guide
Non-purulent Infections. Severe: Assess for potential necrotizing infection. Emergent surgical consultation, consideration for debridement. Empiric: Vancomycin 15 mg IV q 12h IV PLUS piperacillin/tazobacatam 3. 375 g IV q 4-6h. Microbiology/special associations–pathogen-specific: see specific modules nbsp; Are you giving HCAP patients too many antibiotics? Today 39;s : Uses, Dosage, Side Effects – or other injected antibiotics; or. medicine to prevent blood clots, such as dabigatran (Pradaxa), heparin, warfarin (Coumadin, Jantoven), and others. This list is not complete. Other drugs may interact with piperacillin and tazobactam, including prescription and over-the-counter medicines, vitamins, nbsp; Antibiotic Cost – Springer Static Content Server 500mg IV vial. 7. 20. 1 Vancomycin IV 1g vial. 7. 50. 2. 15. 00. Clarithromycin 500mg tablet. 6. 13. 2. 12. 26. Levofloxacin 750mg IV bag. 13. 20. 1. 13. 20. 750mg tablet. 19. 74. 1. 19. 74. 2016 Empiric Recommendations – Harris Regional Hospital , Levofloxacin mono-txt for β-lactam allergic Diabetic foot ulcer <sup>c, d</sup>, Ampicillin/sulbactam <sup>e</sup> Vancomycin, If macerated or gangrenous, use Piperacillin/tazobactam for PSA coverage nbsp; Antibiotics and Penicillin Allergy . Fosfomycin Rifampicin. Chloramphenicol Gentamicin Sodium Fusidate. Ciprofloxacin. Levofloxacin Teicoplanin. Clarithromycin Linezolid. Tetracycline. Clindamycin Metronidazole Tigecycline. Colistin. Nitrofurantoin Trimethoprim. Co-Trimoxazole Norfloxacin Tobramycin. Doxycycline. Ofloxacin. Vancomycin. Piperacillin/tazobactam – an overview ScienceDirect Topics (piperacillin/tazobactam), and Unasyn (ampicillin/sulbactam) are all combinations of two β-lactam drugs. The first β-lactam drug, the . Third-generation cephalosporin vancomycin (if penicillin-resistant S. pneumoniae suspected) ampicillin (if Listeria suspected). . Cefotaxime nbsp; Skin and Soft tissue infections – The Everett Clinic 500mg PO q24h. Duration of therapy: Treat for 14 days for MRSA, if confirmed. Hospital Acquired Pneumonia (HAP)/Healthcare associated pneumonia, obtain sputum cultures: Hospitalized patients. Vancomycin IV (per protocol, goal trough 15-20) plus. Piperacillin/Tazobactam 4. 5g IV (Zosyn per protocol) q6 nbsp; Infection 3: Sepsis in Adults Portal – CALS vancomycin. If PCN allergy, aztreonam metronidazole in place of Zosyn. Zosyn 4. 5 g IV q6h. Levofloxacin 750 mg IV q24h. Vancomycin 1 g IV q12h. Aztreonam 2 g IV q8h Febrile Neutropenia, Vancomycin Zosyn Levofloxacin or Gentamycin. Infuse azithromycin over 60 min via infusion pump. Antibiotic Overview ) . 4. Quinolones (gatifloxacin, moxifloxacin, and less so levofloxacin) . 5. Vancomycin (MRSA). 6. Sulfonamide/trimethoprim (Increasing resistance limits use, very inexpensive). 7. Clindamycin . 8. Tetracyclines. 9. Chloramphenicol (. causes aplastic anemia so nbsp; IV Drug Compatibility Chart . Alteplase (Activase, rTPA) Amiodarone (Cordarone) Argatroban Atropine Calcium chloride Diltiazem (Cardizem) Dobutamine (Dobutrex) Dopamine Epinephrine (Adrenalin) Esmolol (Brevibloc) Furosemide (Lasix) Heparin Insulin (regular) Lidocaine (Xylocaine) Lorazepam (Ativan) Magnesium Sulfate nbsp;
Hospitalized Adults: Respiratory Tract Infections: Healthcare
500 mg IV daily. For severe PCN allergy: Vancomycin. PLUS one of: Aztreonam 2 g IV q8h. WITH OR WITHOUT one of :. Doxycycline 100 mg IV/PO BID. OR. Azithromycin 500 mg IV daily. Pseudomonas risk factors include: structural lung disease, repeated exacerbations of severe COPD leading to frequent nbsp; Antibiotics of choice – Medical Corps , Clindamycin. b. Penicillinase producing. Vancomycin. TMP/SMX. 2. Streptococci. a. Pyogenic groups A, B, C. Penicillin G or Penicillin V Gentamicin. Beta Lactams (Penicillins, Cephalosporins), Erythromicin, Azithromycin. b. Viridans. Amoxicillin/Clavulanate or Penicillin nbsp; Acute Kidney Injury in a Child Receiving Vancomycin and trough concentration on HD 4 was 37 mg/L. At that time, vancomycin and piperacillin/tazobactam were discontinued because of concerns for AKI. Her antibiotics were changed to IV azithromycin and ceftriaxone (Table 2). No additional nephrotoxic agents were identified. She was given a single nbsp; Appropriate timing and dosing of antibiotics in sepsis – Surviving . β-lactam<sup>1</sup> respiratory FQ<sup>2</sup>. HCAP. antipseudomonal β-lactam<sup>3</sup>. aminoglycoside<sup>4</sup> or antipseudomonal FQ<sup>5</sup>. vancomycin or linezolid. <sup>1</sup> ceftriaxone, cefotaxime, ampicillin/sulbactam. <sup>2</sup> levofloxacin, moxifloxacin. <sup>3</sup> piperacillin/tazobactam, cefepime, meropenem, imipenem, doripenem. IV to PO Conversion – SHEA currently receiving intravenous antibiotics who might be eligible to receive oral antibiotic treatment. What medications are eligible for IV to PO conversion? Azithromycin Ciprofloxacin Clindamycin. Doxycycline Fluconazole Levofloxacin Linezolid. Metronidazole Trimethoprim/sulfamethoxazole. Empiric Sepsis Antibiotic Chart – BayCare 39;s Doctor Connect (see comments) . Aztreonam /-. Tobramycin (if high suspicion for Pseudomonas). Comments. Daptomycin 6 mg/kg is an option for severe vancomycin allergy (not Redman syndrome). Source of Infection. Community-acquired Pneumonia. Empiric Antimicrobial Therapy. Ceftriaxone . Azithromycin or nbsp; Pneumonia Mycoplasma pneumoniae Antibiotics and Resistance Macrolides (e. g. , azithromycin) are generally considered the treatment of choice for both children and adults. In addition to macrolides, fluoroquinolones are recommended for the treatment of adults and tetracyclines (e. g. , doxycycline) can be used for older children and adults. Neither fluoroquinolones nor nbsp; Antibiotics for Chlamydia: Benefits, Side Effects, Doses Infographic What is chlamydia, how chlamydia is transmitted, antibiotics for Chlamydia genital infection, including azithromycin, doxycycline, CDC recommended dosage regimens and dose instructions, the material is updated according to 2015 STD Treatment Guidelines. antimicrobial use – UW Health 500 mg inj. 500 mg Q24. 4. 46. Azithromycin 250 mg tab. 500 mg Q24. 2. 06. 250 mg Q24. 1. 03. Telithromycin 400 mg tab. 800 mg Q24. 9. 26. Oxacillin. Inj. 2 g Q4. 91. 48. 2 g Q6. 64. 99. Vancomycin 1 g inj. 1 g Q12. 8. 12. Vancomycin 125 mg cap. 125 mg Q6. 93. 72. 250 mg Q6. 203. 28. Vancomycin 125 mg sln.
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