Adult Archives - Carolina Antimicrobial Stewardship Program

Restricted anti-infective drugs may be approved by the ID consult services or by the Carolina Antimicrobial Stewardship Program (CASP). Restricted anti-infectives initiated by the ID medicine service (MDK) do not require approval.

Duration recommendations are provided as a general guideline for therapy (IV or PO) with a goal of minimizing unintended consequences to the patient (e.g., precipitating C. difficile colitis, development of resistant pathogens, organ dysfunction). Patient-specific factors should influence duration decisions and transition to oral therapy.

AMG, aminoglycoside, dosing, tobramycin, gentamicin, amikacin

There is growing evidence that prolonged IV antibiotic treatment for osteomyelitis (OM) in the absence of a plan for wound coverage does not provide any benefit and may be associated with some risk (i.e., development of multidrug-resistant organisms). This guideline aims to streamline and optimize evaluation and management of patients with pelvic or sacral osteomyelitis while acknowledging that these are complex patients who require individualized care and for whom this management plan may not be appropriate.

Immediate guidance for the initial diagnosis and management of malaria at UNC Hospitals. Infectious Diseases consultation is recommended when malaria is diagnosed or strongly suspected. key words: malaria, antimalarial, artesunate, dengue, Chikungunya, P. falciparum, P. vivax, P. ovale

This treatment pathway is intended for patients with uncomplicated Gram-negative bacteremia with a known pathogen and pending microbiological susceptibility testing results.

c. diff, c. difficile, fidaxomicin, bezlotoxumab, vancomycin, Clostridioides difficile, CDI, diarrhea, Clostridium difficile

Certain azole antifungal drugs require therapeutic drug monitoring (TDM) due to important exposureresponse relationships and significant pharmacokinetic variability. This guideline outlines recommendations for the TDM of itraconazole, posaconazole, voriconazole, and isavuconazole.

Antimicrobial susceptibility organisms submitted to the University of North Carolina Hospitals Microbiology Laboratory between 1/1/2024 and 12/31/2024. Antibiograms help guide the clinician and pharmacist in selecting the best empiric antimicrobial treatment in the event of pending microbiology culture and susceptibility results.

vancomycin, SDD

isolation, epidemiology, infection, prevention

Peds / Adult: Adult

Restricted Anti-infective Drugs – Adult & Pediatric

Best Practices for Antimicrobial Duration of Therapy for Common Infections

Aminoglycoside Dosing & Monitoring Guidelines (Adult)

Management of Pelvic/Sacral Osteomyelitis in Adults with or without Skin and Soft Tissue Infections

Antibiogram: A Clinician’s Guide

Malaria Diagnosis and Initial Management

Gram-negative Bacteremia Treatment Pathway

Diagnosis and Management of Clostridioides difficile Infection in Adult and Pediatric Patients

Azole Antifungal Therapeutic Drug Monitoring

UNC Medical Center Antibiogram

Vancomycin Dosing Guidelines (Adult)

Isolation Precautions