Spectrum: Local Antimicrobial Stewardship, for Bakersfield Memorial Hospital

Severely Ill / CAUTI

Remove or replace catheter in all patients. Removal is preferred.

Empiric Therapy

Cefepime 1 g IV every 8 hr

OR

Zosyn 3.375 g IV every 8 hr (4 hr infusion)

Cephalosporin/Severe PCN Allergy

Aztreonam 2 g IV every 8 hr

Duration

As a general guide:

  • If the patient is severely ill (e.g. urosepsis) or has pyelonephritis: 7-10 days.