Spectrum: Local Antimicrobial Stewardship, for Providence Health Care

Critically Ill

Duration of Therapy

Based on response to therapy

Suggested Regimen

Meropenem 500mg IV Q6H

AND

Vancomycin loading dose 25 mg/kg IV then maintenance dose of 15 mg/kg Q12H (refer to clinical pharmacist to adjust the dose)

View vancomycin nomogram

AND

Micafungin 100mg IV Q24H

Oral Stepdown

Based on culture results