Spectrum: Local Antimicrobial Stewardship, for Billings Clinic

Risk Factors Present

Empiric Regimen

Cefepime 2 g IV q8h (Extended Infusion)

OR

Piperacillin-tazobactam 3.375 g IV q8h (Extended Infusion)

IF MRSA RISK FACTORS PRESENT, ADD

Vancomycin per pharmacist (AUC 400-600)

Penicillin Anaphylaxis

Vancomycin per pharmacist

PLUS

Aztreonam 2 g IV q8h