Spectrum: Local Antimicrobial Stewardship, for Providence Health Care

Tailor Antimicrobial Therapy Based on Gram Strain

Gram Positive Cocci

Continue only Vancomycin until susceptibilities available

Gram Negative Cocci

Suspect Neisseria gonorrhea. Take a complete sexual history and perform testing for sexually transmitted infections.

Continue only Ceftriaxone

AND

When gonococcal infection confirmed, also give:

Azithromycin 1g PO x 1 dose for pre-emptive treatment of chlamydial infection

Gram Negative Rods

Continue only Ceftriaxone

Further Management