Harbor:Sepsis antibiotics - Revision history

Bchap23: /* Neutropenic Fever */

2019-02-21T23:11:11Z

Neutropenic Fever

← Revisión anterior		Revisión del 23:11 21 feb 2019
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	==[[Neutropenic Fever]]==		==[[Neutropenic Fever]]==
	*'''Comm. Acquired'''		*'''Comm. Acquired'''
	**Severe Sepsis: [[Cefepime]] 2 g IV + [[Vancomycin]] 1 g IV		**Severe Sepsis [[Cefepime]] 2 g IV + [[Vancomycin]] 1 g IV
	**Septic Shock: [[Meropenem]] 1g IV + [[Vancomycin]] 1g IV		**Septic Shock [[Meropenem]] 1g IV + [[Vancomycin]] 1g IV
	*'''Health Care Associated'''		*'''Health Care Associated'''
	**Severe Sepsis: [[Cefepime]] 2 g IV + [[Vancomycin]] 1 g IV		**Severe Sepsis [[Cefepime]] 2 g IV + [[Vancomycin]] 1 g IV
	**Septic Shock: [[Meropenem]] 1g IV + [[Vancomycin]] 1g IV		**Septic Shock [[Meropenem]] 1g IV + [[Vancomycin]] 1g IV

	==See Also==		==See Also==

2019-02-21T23:10:07Z

Community Acquired Pneumonia (CAP)

← Revisión anterior		Revisión del 23:10 21 feb 2019
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	**'''[[Meropenam]] '''1g IV + '''[[Levofloxacin]] '''750mg IV (Levofloxacin for synergy)		**'''[[Meropenam]] '''1g IV + '''[[Levofloxacin]] '''750mg IV (Levofloxacin for synergy)
	*'''Aspiration risk:'''		*'''Aspiration risk:'''
	**Add [[Clindamycin]] 600 mg or [[Metronidazole]] 500 mg		**Add [[Clindamycin]] 600 mg or [[Metronidazole]] 500 mg (unless already on Meropenem)

	===Healthcare Associated [[pneumonia]] (HCAP) + Hospital Associated [[pneumonia]] (HAP)===		===Healthcare Associated [[pneumonia]] (HCAP) + Hospital Associated [[pneumonia]] (HAP)===

2019-02-21T23:08:47Z

Neutropenic Fever

← Revisión anterior		Revisión del 23:08 21 feb 2019
Línea 121:		Línea 121:

	==[[Neutropenic Fever]]==		==[[Neutropenic Fever]]==
	*'''~~Severe Sepsis~~'''		*'''Comm. Acquired'''
	**[[Cefepime]] 2 g ~~IVPB x~~ 1		**Severe Sepsis: [[Cefepime]] 2 g IV + [[Vancomycin]] 1 g IV
	**[[Vancomycin]] ~~1 g IVPB x 1~~		**Septic Shock: [[Meropenem]] 1g IV + [[Vancomycin]] 1g IV
	*'''~~Septic Shock~~'''		*'''Health Care Associated'''
	**		**Severe Sepsis: [[Cefepime]] 2 g IV + [[Vancomycin]] 1 g IV
			**Septic Shock: [[Meropenem]] 1g IV + [[Vancomycin]] 1g IV

	==See Also==		==See Also==

2019-02-21T23:03:46Z

Unknown SourceForm v2011.09.15

← Revisión anterior		Revisión del 23:03 21 feb 2019
Línea 1:		Línea 1:
	==Unknown Source<ref>Form v2011.09.15</ref>==		==Unknown Source<ref>Form v2011.09.15</ref>==
	*'''~~Severe [[Sepsis]]~~'''		*'''Comm. Acquired'''
	**~~Comm. Acquired~~		**Severe Sepsis and Septic Shock
	***[[Meropenem]] 1 g IV		***[[Meropenem]] 1 g IV
	***[[Vancomycin]] 1 g IV		***[[Vancomycin]] 1 g IV
	**Health Care Associated		*'''Health Care Associated'''
	***[[Meropenem]] 1 g IV		**Severe Sepsis and Septic Shock
	***[[Vancomycin]] 1 g IV
	*'''Septic Shock'''
	**~~Comm. Acquired~~
	***[[Meropenem]] 1 g IV
	***[[Vancomycin]] 1 g IV
	**Health Care Associated
	***[[Meropenem]] 1 g IV		***[[Meropenem]] 1 g IV
	***[[Vancomycin]] 1 g IV		***[[Vancomycin]] 1 g IV

2019-02-21T22:56:54Z

Abdominal/Pelvic

← Revisión anterior		Revisión del 22:56 21 feb 2019
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	**Severe sepsis [[Cefepime]] 1 g IV + [[Metronidazole]] 500 mg IV		**Severe sepsis [[Cefepime]] 1 g IV + [[Metronidazole]] 500 mg IV
	**Septic shock [[Meropenem]] 1 g IV		**Septic shock [[Meropenem]] 1 g IV
	***If recent surgery, add: [[Vancomycin]] 1 g IV		***If recent surgery add [[Vancomycin]] 1 g IV
	*Cephalosporin allergy		*Cephalosporin allergy
	**[[Cipro]] 400mg IV		**[[Cipro]] 400mg IV

2019-02-21T22:55:45Z

Healthcare Associated pneumonia (HCAP) + Hospital Associated pneumonia (HAP)

← Revisión anterior		Revisión del 22:55 21 feb 2019
Línea 45:		Línea 45:

	*Mild HAP/HCAP no recent antibiotic exposure:		*Mild HAP/HCAP no recent antibiotic exposure:
	**'''[[Cefepime]] '''1g IV Q8H ~~+/-~~ '''[[Clindamycin]] '''600mg IV '''OR''' '''[[Metronidazole]]''' ~~if risk of aspiration~~		**'''[[Cefepime]] '''1g IV Q8H
			**If risk of aspiration add '''[[Clindamycin]] '''600mg IV '''OR''' '''[[Metronidazole]]'''
	*Moderate HAP/HCAP or necrotizing [[pneumonia]]:		*Moderate HAP/HCAP or necrotizing [[pneumonia]]:
	**Add '''[[Vancomycin]] '''for [[MRSA]]		**Add '''[[Vancomycin]] '''for [[MRSA]]

2019-02-21T22:52:25Z

Unknown SourceForm v2011.09.15

2019-02-21T21:07:14Z

Meningitis

← Revisión anterior		Revisión del 21:07 21 feb 2019
Línea 105:		Línea 105:
	***[[Cipro]] 400mg IV		***[[Cipro]] 400mg IV

	*Immunocompromised		*Immunocompromised (Cirrhosis, EtoH, age > 65, steroids, HIV)
	(Cirrhosis, EtoH, age > 65, steroids, HIV)

	**[[Penicillin]] G 4M Units IV		**[[Penicillin]] G 4M Units IV

2019-02-21T21:06:40Z

UTI with Sepsis

← Revisión anterior		Revisión del 21:06 21 feb 2019
Línea 88:		Línea 88:
	**[[Gentamicin]] 5mg/kg IV		**[[Gentamicin]] 5mg/kg IV

	==[[Meningitis]]		==[[Meningitis]]==

	*~~Comm.~~ Acquired		*Community Acquired
	**[[Ceftriaxone]] 2 g IV		**[[Ceftriaxone]] 2 g IV
	**Add [[Vancomycin]] 1 g IV if [[CSF Results]] suggest pneumococcal [[meningitis]] (for [[ceftriaxone]] resistant [[S. pneumoniae]])		**Add [[Vancomycin]] 1 g IV if [[CSF Results]] suggest pneumococcal [[meningitis]] (for [[ceftriaxone]] resistant [[S. pneumoniae]])
	**Add [[Ampicillin]] 2g IV Q4H in age >50 years and pregnant		**Add [[Ampicillin]] 2g IV Q4H in age >50 years and pregnant
	*[[Cephalosporin]] allergy		**[[Cephalosporin]] allergy
	**[[Chloramphenicol]] 1 g IV		***[[Chloramphenicol]] 1 g IV
	**[[Vancomycin]] 1.5g IV		***[[Vancomycin]] 1.5g IV


	*Healthcare Assoc/Post neurosurgical		*Healthcare Assoc/Post neurosurgical
	**[[Vancomycin]] 1.5 g IV		**[[Vancomycin]] 1.5 g IV
	**[[Cefepime]] 2 g IV		**[[Cefepime]] 2 g IV
	*Cephalosporin allergy		**Cephalosporin allergy
	**[[Vancomycin]] 1.5g IV		***[[Vancomycin]] 1.5g IV
	**[[Cipro]] 400mg IV		***[[Cipro]] 400mg IV

			*Immunocompromised
			(Cirrhosis, EtoH, age > 65, steroids, HIV)

			**[[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]]==		==[[Necrotizing Soft-tissue Infection]]==

2019-02-21T21:04:40Z

Meningitis (Immunocomp)

@@ Línea 105: / Línea 105: @@
 **[[Vancomycin]] 1.5g IV
 **[[Cipro]] 400mg IV
 ==[[Necrotizing Soft-tissue Infection]]==