Guidelines - All Sites

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

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

Adult guideline on appendicitis management

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

Guideline for the use of antibiotic lock therapy in adults

Antimicrobial Prophylaxis Guidelines for Pediatric Cardiac Surgery Patients

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

Guidelines for management of infections of tissue expanders.

Standards for management of C. difficile infection in adults

Initial antimicrobial therapy recommendations for Code Sepsis at UCSFMC

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

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

Guidance for management of infection in children with liver failure

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.

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

Clinical guidelines for Blood culture PCR results

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) or hospital-onset infections in infants at > 72 hours of age who have been hospitalized since birth (late-onset).

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

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

Guidelines for diagnosis and management of influenza

IV to PO step down guidelines for IV fluid shortage

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

  Please refer to guidelines below:

Guidance on antibiotic selection and treatment duration for necrotizing enterocolitis

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

Recommendations around Pneumocystis pneumonia prophylaxis in adult patients not covered by other guidelines (either national or institutional)

Guideline/Protocol Title:

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

Guidelines for pre- and peri-procedure surgical antimicrobial prophylaxis

Guidelines for pre- and peri-procedure surgical antimicrobial prophylaxis

Guidance for management of vancomycin infusion reaction in adult patients

SFVA comprehensive guide to antimicrobial treatment, dosing, and policies

SFVA facility treatment guidelines for C. difficle infection

SFVA facility guidelines for management and treatment of community acquired pneumonia

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

SFVA facility guidelines for management and treatment of SSTIs

SFVA facility guidelines for management and treatment of SBP

SFVA facility treatment guidelines for management and treatment of UTIs

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

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

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

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.

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

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

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

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.

Blood Culture Rapid Identification Panel (BCID-II)The purpose of this document is to provide general guidance for empiric therapy based on the results of the rapid blood culture identification panel (BCID-

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

Guidance for collecting surgical specimens for microbiological processing.

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

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

Recommendations for testing for suspected CNS VZV infection

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.

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

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

Step-by-step procedure for ordering restricted antimicrobials

Initial dosing nomogram for patients initiated on vancomycin per pharmacy.

SFVA protocol for beta-lactam test dosing

Criteria for use of restricted antimicrobials at VASF

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.

Restricted antimicrobials at ZSFGH