Table 1.
Infection type | Community-acquired | Nosocomial |
---|---|---|
SBP SBE Spontaneous bacteremia |
Cefotaxime or ceftriaxone | Broad-spectrum beta-lactam- or carbapenem-based therapy based on local antibiogram ± vancomycin (if high percentage of VSE/MRSA) |
Urinary infections with sepsis | Cefotaxime or ceftriaxone | Broad-spectrum beta-lactam- or carbapenem-based therapy based on local antibiogram ± vancomycin (if high percentage of VSE/MRSA) |
Pneumonia | Ceftriaxone + macrolide or respiratory fluoroquinolone (moxifloxacin or levofloxacin) | Broad-spectrum beta-lactam- or carbapenem-based therapy based on local antibiogram ± vancomycin (if high percentage of VSE/MRSA) |
Cellulitis |
Nonpurulent infection (necrotizing infection/cellulitis/erysipelas): Severe: rule out necrotizing process; empiric anti-MRSA agent +piperacillin/tazobactam Moderate: ceftriaxone or cefazolin Purulent cellulitis (furuncle/carbuncle/abscess): Irrigation and debridement Empiric: anti-MRSA agent |
SBP, spontaneous bacterial peritonitis; SFP, spontaneous fungal peritonitis; MRSA, methicillin-resistant Staphylococcus aureus; commonly administered anti-MRSA agents: vancomycin, daptomycin, linezolid, ceftaroline