Spectrum: Local Antimicrobial Stewardship, for Billings Clinic

Mild-Moderate

Preferred Empiric Treatment

Ceftriaxone

AND

Metronidazole

OR

Cefdinir

AND

Metronidazole

IF MRSA RISK, ADD

TMP/SMX

OR

Doxycycline

OR

Vancomycin

Alternate Empiric Treatment (Generally Too Broad)

Cefepime

AND

Metronidazole

ALTERNATIVELY, CONSIDER

Piperacillin-Tazobactam

Common Organisms

Aerobic Gram-Positive Cocci

Gram-Negative Rods

Anaerobes