Back
to top| Clinical conditions | Pathogen(s) | Antibiotic(s) | Comments |
| Sepsis in
non-neutropenic patient |
E.coli Strep. pneumoniae Staph. aureus Others |
Refer to Hospital Antibiotic Adult if source known or suspected otherwise start: IV Amoxicillin + Metronidazole + Gentamicin |
Complete Sepsis 6 bundle and start antimicrobial therapy within 1 hour. If penicillin allergic IV Vancomycin + Metronidazole + Gentamicin |
| Sepsis in
neutropenic patient |
Coliforms |
Haematology Patient Oncology Patient Non Haem/Onc Patient |
|
| Sepsis in patients with intravascular catheter in situ |
Staph. epidermidis |
Flucloxacillin 2g IV qds |
Consider removing the catheter.
Consider also changing to IV vancomycin if no improvement or if MRSA/MRSE
is isolated in blood culture or patient is known to be MRSA positive or
previous line infection with MRSA/MRSE. If confirmed S. aureus bacteraemia (SAB) refer to national guidance Antifungal therapy - click here
|
Approved by AMG: February
2020
Review: February
2023
|
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