Infectious Disease

Antibiotic Recommendations/Dosing

General Principles

  1. Initiate empiric therapy based on severity of illness, likely pathogen, likelihood of drug resistance, host factors (allergy, poor renal function, immunocompromised)
  2. Initiate antibiotic therapy as soon as possible
  3. tailor antibiotic therapy based on culture results
  4. tailor antibiotic therapy once culture results are available (often 48-72 hours)
  5. Transition from IV to oral antibiotic as soon as feasible to decrease cost and reduce complications from IV access
  6. Consult ID for further assistance

Disease // Treatment with Dosing

Another useful app that you can access in phone (require fee) : Sanford Guide

*All drug dosing is based on immunocompetent patients with no renal or hepatic dysfunction and normal weight, not elderly and not in ICU

BONE/JOINT

Joint infections with hardware

Non-Vertebral Osteomyelitis

Septic Arthritis

CNS

Brain Abscess

Epidural Abscess

Meningitis (community-onset) 

INTRAABDOMINAL INFECTION

C. difficile (non-complicated) 

Community-Acquired Secondary Peritonitis

Diverticulitis

Liver Abscess 

Spontaneous Bacterial Peritonitis 

Traveler's Diarrhea

PNEUMONIA

Pneumonia, Community Acquired

Pneumonia, Healthcare Associated

RESPIRATORY, HEAD AND NECK INFECTIONS

Bacterial Exacerbation of COPD 

Acute Sinusitis // Watchful waiting first,

Peritonsillar Abscess

Pharyngitis

SEPSIS

Community Acquired Sepsis 

Fever in person who injects drugs

Healthcare Acquired Sepsis 

SEXUALLY TRANSMITTED INFECTIONS

Gonorrhea

Chlamydia

URINARY TRACT INFECTIONS

Uncomplicated Cystitis 

Acute Prostatitis

Community-Acquired Pyelonephritis/Complicated UTI


Reference:

Guidelines for Empiric Therapy: Adults | Infectious Diseases Management Program at UCSF

Adult Outpatient Treatment Recommendations | Antibiotic Use | CDC

Antibiotic Courses for Common Infections: Recommendations From the ACP - Practice Guidelines - American Family Physician (aafp.org)

Antimicrobial stewardship in hospital settings - UpToDate