Guidelines - All Sites

61 Guidelines

Therapeutic Drug Monitoring

  1. Azole Therapeutic Drug Monitoring

    Reference document for adult azole therapeutic drug monitoring, adjustments and considerations

COVID 2023-2024 Vaccine Patient/Caregiver Information

  1. SPIKEVAX Patient Package Inserts: Spanish, Chinese, Vietnamese, Tagalog, Russian

    Links to SPIKEVAX (Moderna COVID 2023-2024 Vaccine) Paitent Package Inserts in:

Syndrome Specific Guidelines

  1. Allergy (Beta-lactam)

    P & T approved guidelines for assessing and managing beta-lactam allergies among inpatients

  2. Antibiotic Lock Therapy

    Guideline for the use of antibiotic lock therapy in adults

  3. Antimicrobial Prophylaxis Guidelines for Pediatric Cardiac Surgery Patients

    Antimicrobial Prophylaxis Guidelines for Pediatric Cardiac Surgery Patients

  4. Benioff Children's Hospitals Guidelines for Fever in Patients Receiving Cancer Therapy and/or Hematopoietic Transplantation

    Standardized guidelines for management of fever in patients on the Pediatric Hematology/Oncology (Oncology) and Pediatric Blood and Marrow Transplant (BMT) services

  5. Breast Tissue Expander Infection

    Guidelines for management of infections of tissue expanders.

  6. Clostridioides difficile Infection

    Standards for management of C. difficile infection in adults

  7. Code Sepsis

    Initial antimicrobial therapy recommendations for Code Sepsis at UCSFMC

  8. COVID-19 Treatment Guidance

    COVID-19 Treatment Guidance including treatment of hospitalized patients, pre-exposure prophylaxis, and guidance on outpatient remdesivir

  9. Emergency Department Algorithm: Fever in Pediatric Patients Receiving Cancer Therapy and/or Hematopoietic Transplant

    Guidance for ED management of pediatric oncology/BMT patients with fever

  10. Empiric Antimicrobial Treatment of Pediatric Patients with Liver Failure and/or Early Post-Liver Transplantation

    Guidance for management of infection in children with liver failure

  11. Febrile Neutropenia

    Flowsheet describing management of febrile neutropenia at UCSFMC. For full guidance on prevention and management, please refer to the SOP-3631 "Management of the Febrile Neutropenic Patient." This SOP can be accessed through Master Control and is maintained by the Adult Hematology, Blood & Marrow Transplant, and Cellular Therapy Program.

  12. Gram-negative Bloodstream Infection

    Guidance for converting from IV to PO therapy in patients with bloodstream infection due to Gram-negative pathogens (Enterobacterales)

  13. Guidelines for Blood Culture Identification (BCID) 2 Data

    Clinical guidelines for Blood culture PCR results

  14. Guidelines for Sepsis in the ICN

    This guideline applies to use of antibiotics in the UCSF Benioff Children's Hospital San Francisco Intensive Care Nursery for empiric treatment of presumed perinatal (early-onset, 72 hours of age who have been hospitalized since birth (late-onset).

  15. HBV prophylaxis

    UCSF Joint Hepatology/Transplant ID Guidelines For Anti-HBc+ Management In Organ Transplantation and Immunosuppression

  16. Hospital-acquired Pneumonia

    Guidelines for assessment and treatment of hospital-acquired or ventilator-associated pneumonia in adults at UCSFMC

  17. Influenza

    Guidelines for diagnosis and management of influenza

  18. IV to PO Syndromic Step-Down Guidance

    IV to PO step down guidelines for IV fluid shortage

  19. LTU Guidelines

    Guidance for empiric antimicrobial therapy in patients with end-stage liver disease

  20. Mpox Treatment

      Please refer to guidelines below:

  21. Necrotizing Enterocolitis/Spontaneous Intestinal Perforation: Antibiotic Selection & Duration of Therapy

    Guidance on antibiotic selection and treatment duration for necrotizing enterocolitis

  22. Pediatric Appendicitis Clinical Algorithm

    Clinical algorithms for management of pediatric patients with suspected or established appendicitis:

  23. RSV Treatment

    Guideline/Protocol Title:

  24. Skin and Skin Structure Infection

    Consensus standards for management of suspected skin and soft tissue infections (SSTI) among adult outpatients and hospitalized inpatients at UCSF Medical Center.

  25. Surgical Prophylaxis

    Guidelines for pre- and peri-procedure surgical antimicrobial prophylaxis

  26. Surgical Prophylaxis Pediatrics

    Guidelines for pre- and peri-procedure surgical antimicrobial prophylaxis

  27. Vancomycin Infusion Reaction

    Guidance for management of vancomycin infusion reaction in adult patients

  28. VASF Antimicrobial Guidebook

    SFVA comprehensive guide to antimicrobial treatment, dosing, and policies

  29. VASF Clostridioides Difficile Infection (CDI) Treatment Guidelines

    SFVA facility treatment guidelines for C. difficle infection

  30. VASF Community Acquired Pneumonia (CAP) Treatment Guidelines

    SFVA facility guidelines for management and treatment of community acquired pneumonia

  31. VASF Intra-abdominal Infections (IAI) Treatment Guidelines

    SFVA facility guidelines for management and treatment of intra-abdominal infections

  32. VASF Skin and Soft Tissue Infections (SSTI) Treatment Guidelines

    SFVA facility guidelines for management and treatment of SSTIs

  33. VASF Spontaneous Bacterial Peritonitis (SBP) Treatment Guidelines

    SFVA facility guidelines for management and treatment of SBP

  34. VASF Urinary Tract Infections (UTI) Treatment Guidelines

    SFVA facility treatment guidelines for management and treatment of UTIs

  35. ZSFG Adult C. difficile Infection Guideline

    Treatment guidelines for adults admitted to ZSFG with C. difficile infection.

  36. ZSFG HAP/VAP Empiric Antibiotic Guidelines

    Updated recommendations for empiric antibiotics for hospital-acquired and ventilator-associated pneumonia among inpatients at ZSFG. Approved by P&T in 9/2023.

  37. ZSFG Oncology Antimicrobial Prophylaxis Guideline

    Oncology antimicrobial prophylaxis guideline with detailed information on dosing and monitoring. Approved by P&T 4/2024.

  38. ZSFG Open Fracture Antibiotic Prophylaxis Protocol

    Antibiotic prophylaxis for open fractures. Agreed upon by Orthopedics, Trauma, ED, and ID in 6/2020. Updated 9/2024 to replace ertapenem with piperacillin-tazobactam given formulary updates.

  39. ZSFG Penetrating Brain Injury Antibiotic Prophylaxis

    Excerpt from ZSFG 2022 TBI Guidelines on antibiotic prophylaxis in the setting of penetrating brain injury.

  40. ZSFG Post-Emergent Splenectomy Vaccination Guideline

    Guidance for indicated vaccines for patients after emergent splenectomy based on current CDC/ACIP recommendations.

  41. ZSFG Pre-Splenectomy Vaccination Guideline

    Guidance for indicated vaccines for patients scheduled for elective splenectomy based on current CDC/ACIP recommendations.

  42. ZSFG Surgical Prophylaxis Guidelines

    ZSFG guidelines for surgical preoperative antibiotic prophylaxis. Contains recommended regimens by type of surgery (with alternative for patients with beta-lactam allergy) and dosing guidance for adults and pediatrics.

Diagnostic Testing

  1. Biofire Blood Culture Identification (BCID) Panel - BCH Oakland

    Blood Culture Rapid Identification Panel (BCID-II)

  2. Blood Culture Guidelines - UCSF Medical Center

    Guidelines regarding appropriate ordering of blood cultures during blood culture bottle shortages

  3. OR Microbiology Specimen Collection

    Guidance for collecting surgical specimens for microbiological processing.

  4. Procalcitonin

    Flowchart to aid in incorporating procalcitonin into considerations for initiating and discontinuing antibiotics.

  5. Rapid Gram-positive Blood Culture

    These guidelines inform selection and modification of antibiotic therapy based on preliminary blood culture results. They are not intended to replace clinical judgement

  6. testy

  7. VZV CNS Infection Testing

    Recommendations for testing for suspected CNS VZV infection

Policies, Procedures, & Protocols

  1. Antimicrobial Therapy Plans for IV Antimicrobials at 4C - How To Guide

    This how-to guide is intended for ZSFG providers to illustrate how to place an antimicrobial therapy plan for IV antimicrobial administration at 4C, our on campus infusion center, to facilitate discharge for patients who require IV antimicrobials. All antimicrobial plans at 4C require approval by ID consult (443-2847). For questions about antimicrobial therapy plans, please contact the ZSFG ID Pharmacist on Epic chat.

  2. Extended Infusion Beta-Lactams

    Adult Extended Infusion Beta-Lactam Guideline for ceftazidime, cefepime, and meropenem

  3. Frequently Asked Questions (FAQs) Regarding Microbiology Results & Infectious Disease-Related Questions (UCSF West Bay Sites)

    Resources for frequently asked questions, guidance on who to contact in certain situations.

  4. Inpatient Process for Ordering Restricted Antimicrobials for Adults at UCSF

    Step-by-step procedure for ordering restricted antimicrobials

  5. Piperacillin-tazobactam Extended Infusion

      Adult Extended Infusion Piperacillin/tazobactam Protocol Quick Links: Protocol Procedures

  6. Vancomycin Initial Dosing Nomogram

    Initial dosing nomogram for patients initiated on vancomycin per pharmacy.

  7. VASF Beta-Lactam Test Dosing Protocol

    SFVA protocol for beta-lactam test dosing

  8. VASF Restricted Antimicrobials

    Criteria for use of restricted antimicrobials at VASF

  9. ZSFG Inpatient Beta-Lactam Allergy Test Dose Guidance

    This guidance document includes supplemental information to educate providers on the rationale and role of beta-lactam test dosing to evaluate documented allergies among inpatients at ZSFG.

  10. ZSFG Restricted Antimicrobials

    Restricted antimicrobials at ZSFGH