Guidelines At ZSFGH

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

Guidelines for the management of necrotizing soft tissue infections (NSTI) in adults

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

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.

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.

Initial dosing nomogram for patients initiated on vancomycin per pharmacy.

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