Restricted Antimicrobials at Zuckerberg San Francisco General
All of the antimicrobials listed require approval by ID pharmacist or ID fellow, except for the routes and indications noted in the table below.
Approval workflow:
- Weekdays
- 0800 - 1630: contact ID pharmacist
- 1630 - 2000: contact ID fellow
- 2001 - 0759: Pharmacy will release overnight doses pending approval the next day
- Weekends & Holidays
- 0800 - 2000: contact ID fellow
- 2001 - 0759: Pharmacy will release overnight doses pending approval the next day
Contact information:
- ID Fellow: 443-2847
- ID Pharmacist: "ZSFG ID Pharmacist" on Epic secure chat or pager 443-4379
|
Restricted Antimicrobial |
Comments |
|---|---|
|
Amikacin |
|
|
Amphotericin B (liposomal, conventional) |
|
| Artemether Lumefantrine (Coartem) | |
| Artesunate | |
|
Aztreonam |
|
|
Ceftaroline |
|
|
Ceftazidime |
Approval not required for: opthalmic injection and drops |
| Ceftazidime-Avibactam (Avycaz) | N/A |
| Ceftolozane-Tazobactam (Zerbaxa) | N/A |
|
Clarithromycin |
Approval not required for: H pylori, MAC treatment or prophylaxis |
|
Daptomycin |
N/A |
| Ertapenem | Approval not required for: ESBL within past year, septic pt heading to ICU |
| Fidaxomicin (Dificid) | Approval not required for high-risk first episode CDI and all 1st recurrence. See ZSFG C. Difficile Guideline for details |
|
Foscarnet |
Approval not required for opthalmic injection |
| Fosfomycin | N/A |
|
Ganciclovir |
Approval not required for opthalmic injection |
|
Imipenem |
N/A |
| Isavuconazole | Approval not required for continuation of prior to admission therapy |
|
Itraconazole |
Approval not required for: Aspergillus, Histoplasma, eosinophilic folliculitis, bullous tinea |
|
Linezolid |
N/A |
|
Meropenem |
N/A |
|
Micafungin |
N/A |
|
Moxifloxacin |
Approval not required for opthalmic injection and/or drops |
|
Pentamidine |
N/A |
|
Posaconazole |
N/A |
| Pyrimethamine | N/A |
|
Rifampin |
Approval not required for: active or latent tuberculosis |
| Tigecycline | N/A |
|
Voriconazole |
Approval not required for: opthalmic injection and/or drops |
|
Non-Formulary* |
N/A |
*Non-formulary antimicrobials at ZSFG include: caspofungin (use micafungin instead), colistin, omadacycline, quinupristin/dalfopristin, tedizolid