Antimicrobial Stewardship Program

Guidebook 

UCLA Antibiotic Handbook
2011-2012
 

Introduction
How to use this guide
       Important Phone Numbers

Microbiology Overview
       Interpretations of Key Phrases
       Bacteriology
Macro Micro Misconceptions
       Bacteriuria in Patients with Neurogenic Bladder and/or Indwelling Catheters
       VRE in the Stool (VRE Colonization) 
       The role of Candida isolated from bronchoscopic samples in non-neutropenic patients
       "Double coverage"
        Anaerobes
Antimicrobial Formulary and Restriction Status
        Restricted antimicrobials
Antimicrobial Fundamental Concepts
       Pharmacodynamics and Therapeutic Drug Monitoring
       “Double coverage”
            Gram-negative Bacteria
            Anaerobes
       Laboratory and Clinical Toxicity Monitoring 
Antibiotic Overview 
       Ampicillin/sulbactam (Unasyn)
       Colistin (Colistimethate)
       Daptomycin
       Ertapenem
       Linezolid
       Tigecycline
       Vancomycin
            Acceptable empiric use
            Acceptable use of definitive intravenous therapy
            Acceptable use for definitive oral therapy
            Acceptable use for prophylaxis
            Unacceptable uses for vancomycin 
Dosing
Antifungals
      
Caspofungin
             Aspergillosis
             Candidiasis
             Neutropenic Fever
       Posaconazole
       Voriconazole 
Infectious Syndromes 
     Specific Treatment of Select Bacterial Organisms at UCLA 
     Clostridium Difficile
     Central Nervous System Infections 
     
Bloodstream Infections 
            Central line-associated bloodstream infection (CLABSI) 
            Coagulase-negative staphylococci (CoNS) 
            Staphylococcus aureus 
            Enterococcus faecalis 
            Enterococcus faecium 
            Gram-negative bacilli 
       Pulmonary Infections 
            Community-acquired pneumonia in hospitalized patients 
            Healthcare-associated Pneumonia (NOT ventilator-associated) 
            Ventilator-associated Pneumonia (VAP) 
            Seasonal Influenza Diagnosis and Management 
            Tuberculosis (TB) Infection 
       Sepsis 
       
Skin and Soft Tissue Infections 
            Cellulitis 
            Cutaneous Abscess 
            Recurrent MRSA Skin Infections 
            Diabetic Foot Infections 
            Surgical Site Infections (SSI) 
            Necrotizing Fasciitis 
       Urinary Tract Infections 
            Non-catheter-associated UTI 
            Catheter-associated UTI (CAUTI) 
       Abdominal Infections
            Biliary Tract Infections
            Pancreatitis
            Peritonitis
      Resistant Gram Negative Infections 
      Candidiasis in non-neutropenic patients
            Oropharyngeal disease (Thrush) 
            Esophageal Candidiasis 
            Candiduria 
            Vaginitis 
            Candidemia 
            Endophthalmitis 
            Endocarditis  
Hematologic Malignancies
     Cytomegalovirus Infection and Disease
     Fever and Neutropenia
     Fungal Disease
     Interstitial Pneumonia
     Other Viral Infections in Immunocompromised Hosts 

Surgical Prophylaxis 
Endocarditis Prophylaxis
Penicillin Allergy
Prophylactic Antimicrobials for Patients with Solid Organ Transplants  

Antimicrobial Therapy in Head and Neck Surgery 
Acknowledgments

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