Spectrum: Local Antimicrobial Stewardship, for Billings Clinic

Moderate

Preferred Empiric Treatment

Ampicillin-Sulbactam

OR

Ceftriaxone

WITH OR WITHOUT

Metronidazole

IF MRSA RISK, ADD

Vancomycin

Alternate Empiric Treatment

Piperacillin-Tazobactam

OR

Cefepime + Metronidazole

IF MRSA RISK, ADD

Vancomycin

OR if allergic to vancomycin may consider

Daptomycin (Restricted to ID)

OR

Linezolid (Restricted to ID)

Common Organisms

Aerobic Gram-Positive Cocci

  • MSSA

  • Beta-hemolytic Streptococci