Clinical Pathways
Antibiotic Catheter Locks
Antibiotic Desensitization
Several antibiotic desensitization protocol order forms have been developed by the Antimicrobial Stewardship Program and Jill Poole, MD, and are approved for use at The Nebraska Medical Center by the Antimicrobial Subcommittee, Pharmacy & Therapeutics Committee, and Medical Executive Committee. The impetus for the development of these forms was for use in the cystic fibrosis population, when antibiotic options are often limited not only by allergies but also by resistance patterns. However, the forms offer a convenient method of ordering antibiotic desensitization for other patient populations as well.
A word of caution, antibiotic desensitization protocols do not eliminate the risk of true anaphylaxis. Thus, antibiotic desensitization should only be considered and utilized with caution and only when other alternatives have been exhausted. Antibiotic desensitization protocols should only be performed in a monitored setting in which resuscitative efforts could be immediately employed as needed.
- Aztreonam
- Cefepime
- Ceftazidime
- Ciprofloxacin IV
- Ciprofloxacin PO
- General IV antibiotic
- General PO antibiotic
- Meropenem
- Piperacillin/tazobactam
- Rifampin PO
- Tobramycin
Clostridium difficile Infection (CDI)
- Management Algorithm
- Environmental Services Cleaning Protocol
- SHEA/IDSA C. difficile Infection Guidelines
Ethanol Lock Technique
- Institutional Guidelines for Ethanol Lock Technique
- Refer to Nursing Policies/Procedures ? Vascular Access Devices ? VAD-11 for the nursing policy associated with the ethanol lock technique.
- Ethanol Lock Order Form
Invasive Candidiasis
Perinatal Group B Streptococcal Prevention
- Institutional Guidelines for the Prevention of Perinatal Group B Streptococcal Disease
- CDC Guidelines for the Prevention of Perinatal Group B Streptococcal Disease
Pneumonia Information
- Community-Acquired Pneumonia
- Pneumonia: Healthcare-associated, hospital-acquired, and ventilator-associated
Sepsis Information
- ER Sepsis Algorithm
- Adult Severe Sepsis Bundle Orders
- Sepsis Bundle: Antibiotic Selection Clinical Pathway
- Attachments to Sepsis Orders
- Drotrecogin Screening Tool (Xigris)
- Drotrecogin Order Form (Xigris)
Soft Tissue Infections
- Institutional guidelines for treatment of skin and soft tissue infections
- IDSA Practice Guidelines for Diagnosis and Management of Skin and Soft Tissue Infections
- IDSA Methicillin-resistant S. aureus (MRSA)Treatment Guidelines
Surgical Prophylaxis
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