Spectrum: Local Antimicrobial Stewardship, for Bakersfield Memorial Hospital

Type III (No Gross Contamination)

Primary Recommended

Ceftriaxone 2 grams IV*

*Initial infusion should be completed before tourniquet is inflated if used

PLUS

Vancomycin - If known MRSA colonization.

Beta-Lactam Allergy

Vancomycin (1gm <80kg, 1.5gm 81-120kg, 2gm > 120kg)

PLUS

Levofloxacin 500mg IV