ANTIBIOTICS> Approvals

General Information
  • Antibiotics may be unrestricted, restricted by guideline or always require approval (see list).
  • Many restricted antimicrobials are available without prior approval for use in accordance with GLA ID guidelines to treat specified infections (see below or consult specific guidelines).
  • During nights and weekends, pharmacy can release restricted antimicrobials pending ID approval. For continued therapy, such approval must be received by 11 AM on the next day.
  • To obtain antibiotic approval call the antibiotic approval pager (5-5243).

Antibiotics Restricted to Guidelines
ID approval not required if guideline satisfied

Amikacin

  • Healthcare-associated infections (e.g., patient with hospitalization or antimicrobial therapy in preceding 90 days, or an immunocompromised state)
  • Nosocomial infections (onset after 3 days of hospital stay)
Amoxicillin/Clavulanic Acid
May also be approved by ENT, Pulmonary, Allergy, or Oral Surgery for up to 14 days
  • Human/Animal (e.g., Dog, Cat, Rat) Bites
  • Dental Abscess
  • Sinusitis or chronic otitis media unresponsive to TMP-SMX (Bactrim™), amoxicillin, or erythromycin or T <35°C or >38°C.
  • Alternative to cephalexin, clindamycin, or dicloxacillin for outpatient treatment of diabetic foot infections
Azithromycin (IV use is unrestricted to 7 days)
  • Oral powder: Chlamydia therapy (single dose) or M. avium prophylaxis (once/week)
  • PO (tablets): Discharge treatment for community-acquired pneumonia in patients who cannot tolerate oral doxycycline up to 7 days (moxifloxacin is preferred)
Cefepime (empiric therapy limit 3 days)
  • Alternative to piperacillin-tazobactam criteria (add metronidazole if anaerobic coverage is warranted)
  • Hospital-acquired pneumonia (see guidelines)
  • Hospital-acquired UTI if creatinine clearance is <30 ml/min (otherwise amikacin is recommended).
  • Treatment of susceptible P. aeruginosa for 7 d (1 renewal)
Cefixime
  • Single dose therapy for GC
Cefotetan
  • Surgical prophylaxis (24 hours perioperatively)
Cefoxitin
  • Surgical prophylaxis (Approval by ID Attending Staff [discouraged])
Ceftazidime
  • Cefepime will be automatically substituted
Ciprofloxacin PO
  • Diabetic foot infections (for patients receiving other antibiotics to cover gram positive organisms per guidelines)
  • Urinary tract infections, pyelonephritis, prostatitis
  • Diverticulitis
  • SPB prophylaxis (weekly)
Clarithromycin
  • Treatment of documented M. avium infection or H. pylori
Ertapenem
ID approval not required up to 7 days (1 renewal) for the following indications
  • Treatment of healthcare and hospital-associated pneumonia in ward patients
  • Diabetic foot infections (with vancomycin)
Famciclovir
  • Treatment of herpes zoster
Fluconazole (PO)
  • Single dose treatment for vaginal candidiasis
ID approval not required up to 7 days with 1 renewal for:
  • Oral thrush refractory to clotrimazole troches
  • Esophageal candidiasis
  • Fungal UTI (yeast in urine culture and pyuria on UA; if catheter related, change catheter first)
Imipenem/cilastatin
meropenem may be substituted without ID approval in patients with a history of seizures
  • Empiric treatment of hospital-acquired pneumonia in ICU patients (3 day limit).
  • Targeted therapy (7 day limit with 1 renewal) of susceptible gram-negative pathogen resistant to all available fluoroquinolones, penicillins, cephalosporins and aminoglycosides
  • Susceptible P. aeruginosa resistant to all other ß-lactam antibiotics
Levofloxacin
  • IV: Severe community-acquired pneumonia (requiring ICU care) and severe PCN allergy (see guidelines)
  • PO: Step-down therapy from piperacillin/tazobactam or ertapenem for treatment of HCAP and HAP (see guidelines)
Micafungin
  • Treatment of suspected disseminated candidemia in ICU patients (3 days)
Moxifloxacin
7 – 10 days PO does not require ID approval for
  • Treatment of sinusitis and acute exacerbations of chronic bronchitis in patients unresponsive to TMP-SMX, doxycycline or amoxicillin or with WBC >15,000, WBC <3,000, or T >38°C) and who cannot tolerate oral amoxicillin/clavulanate
  • Outpatient treatment of community acquired pneumonia in high risk patients (>60 yrs old, comorbid contitions, unstable vital signs)
  • Stepdown therapy for patients receiving parenteral levofloxacin or ceftriaxone who required ICU care for CAP
Piperacillin/Tazobactam (empiric therapy is limited to 3 days)
  • Empiric therapy of hospital-acquired UTI in patients with creatinine clearance <30 ml/min (cefepime is preferred agent; amikacin recommended in patients with better creatinine clearance or with severe infection)
  • Pathogen-directed therapy of susceptible P. aeruginosa (7 days with 1 renewal); cefepime is preferred agent if sensitive
  • Empiric therapy of necrotizing fasciitis
  • Alternative to cefepime for empiric therapy of hospital-acquired pneumonia and imipenem for ventilator associated pneumonia
Vancomycin IV (empiric treatment is limited to 3 days; directed treatment limited to 7 days with 1 renewal)
Vancomycin PO: