Introduction

When prescribing antibiotics and using this chapter:

1. Ask the patient about any allergies to medications.

2. Use your judgment about these recommendations especially with regard to drug interactions and side effects.

3. Unless otherwise indicated, the dosages listed here are for adults with normal renal and hepatic function.

4. Hospital admission and parenteral therapy should be considered for any patient who is severely ill, immunocompromised or who may not be compliant with oral medications/follow-up.

5. When needed, multiple drug therapy is noted and indicated by the words PLUS or PLUS/MINUS.

6. The first-line therapies listed in this chapter are based upon efficacy and cost. If a first-line medication fails, consider switching to a broader-spectrum (and often more expensive) therapy.

7. When using IV vancomycin or an antipseudomonal aminoglycoside, serum levels should be monitored.

8. Frequently used abbreviations: bid, twice a day; DRSP, drug-resistant Streptococcus pneumoniae; IM, intramuscularly; IV, intravenously; MRSA, methicillin-resistant Staphylococcus aureus; PO, orrally; qid, four times a day; qd, every day; tid, three times a day.

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