Spectrum: Local Antimicrobial Stewardship, for Fraser Health

Severe VAP

Duration

7 days

Empiric Therapy

Meropenem 500 mg IV q6h

AND

Vancomycin

AND

Consider adding 2nd anti-pseudomonal agent from a different class:

Tobramycin 7 mg/kg IV q24h

OR

Ciprofloxacin 400 mg IV q8h

Severe Meropenem Allergy

Levofloxacin 750 mg PO q24h

AND

Vancomycin

AND

Consider adding 2nd anti-pseudomonal agent from a different class:

Tobramycin 7 mg/kg IV q24h

OR

Ciprofloxacin 400 mg IV q8h