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IV Antibiotics Guide

Comprehensive Reference for Preparation & Administration

WHO AWaRe Classification of Antibiotics

Access

First choice for common infections. Low resistance potential.

  • Amikacin
  • Ampicillin/Sulbactam
  • Amoxicillin/Clavulanate
  • Cefazolin
  • Clindamycin
  • Gentamicin
  • Metronidazole
  • Nitrofurantoin
  • Sulfamethoxazole/TMP
  • Doxycycline
Watch

Higher resistance potential. Use for specific indications. Strict stewardship monitoring.

  • Azithromycin
  • Cefepime
  • Cefotaxime
  • Ceftriaxone
  • Ertapenem
  • Ceftazidime
  • Ciprofloxacin
  • Clarithromycin
  • Meropenem
  • Vancomycin
  • Imipenem/Cilastatin
  • Levofloxacin
  • Moxifloxacin
  • Pip/Tazobactam
Reserve

"Last Resort" options for multi-drug resistant organisms. Strict stewardship monitoring.

  • Colistin
  • Linezolid
  • Tigecycline
  • Daptomycin
  • Ceftazidime/Avibactam
  • Ceftolozane/Tazobactam
  • Fosfomycin (IV)
  • Minocycline (IV)

Preparation & Administration

💊CEPHALOSPORINS
DrugReconstitutionDiluentDilution & RateRT StabilityFridgeNotes
Ceftriaxone 1g – 10mL
2g – 20mL
NS / D5W 0–1g in 50mL / 30min
>1g in 100mL / 30min
24h 24h Light protection NOT needed
Cefotaxime 0.5–1g – 10mL
2g – 20mL
NS / D5W 0–2g in 50mL / 30min 5 days May darken; protect from heat
Ceftazidime 0.5–1g – 10mL
2g – 20mL
NS / D5W 0–1g in 50mL / 30min
>1g in 50–100mL / 30min
Extended: 4h
2h 24h Protect from light
Cefepime 0.5g – 5mL
1–2g – 10mL
NS / D5W 0–2g in 50mL / 30min 24h 48h Protect from light
Cefazolin 0.5–1g – 5mL
>1g – 10mL
NS / D5W 0–1g in 50mL / 30min
>1g in 100mL / 30min
24h SHAKE WELL; protect from light
Cefoxitin 1g – 10mL
2g – 20mL
NS / D5W 0–1g in 50mL / 30min
>1g in 100mL / 30–60min
Immediate 24h Protect from light
Cefoperazone 1g – 5mL
>1g – 10mL
NS / D5W 0–1g in 50mL / 30min
>1g in 100mL / 30min
24h 5 days
Cefoperazone/Sulbactam 1g – 10mL NS / D5W 1g in 50mL / 30–60min 24h
🔬PENICILLINS
DrugReconstitutionDiluentDilution & RateRT StabilityFridgeNotes
Ampicillin/Sulbactam 0–1.5g – 5mL
>1.5g – 10mL
NS ONLY 0–1.5g in 50mL / 30min
>1.5g in 100mL / 30min
8h 48–72h No D5W
Piperacillin/Tazobactam 2.25g – 10mL
4.5g – 20mL
NS / D5W 2.25g in 50mL / 30min
4.5g in 100mL / 30min
Extended: 4h
24h
CARBAPENEMS
DrugReconstitutionDiluentDilution & RateRT StabilityFridgeNotes
Meropenem 500mg – 10mL
1g – 20mL
NS / D5W
(NS preferred)
Conc: 1–20 mg/mL
0.5–1g in 50mL / 15–30min
Extended: 3h
3h 15h NS preferred for stability
Imipenem/Cilastatin 500mg – 10mL
Shake well
NS (preferred) / D5W 0–500mg in 100mL / 30min
>500mg in 250mL / 60min
Extended: 3h
24h Rinse vial with 10mL diluent
🧬AMINOGLYCOSIDES & POLYMYXINS
DrugReconstitutionDiluentDilution & RateRT StabilityFridgeNotes
Amikacin Ready solution NS / D5W Conc: 0.25–5 mg/mL
0–1000mg in 100–200mL / 30–60min
Immediate
Colistimethate Na 1MU – 10mL
Roll gently
NS / D5W In 50–100mL / 30–60min Immediate Avoid frothing
🛡️GLYCOPEPTIDES & OTHER ANTIBIOTICS
DrugReconstitutionDiluentDilution & RateRT StabilityFridgeNotes
Vancomycin 500mg – 10mL
1g – 20mL
NS / D5W Conc ≤5 mg/mL:
0–500mg / 100mL / 30min
501–1250mg / 250mL / 60min
1251–1750mg / 500mL / ≥90min
1751–2250mg / 500mL / ≥120min
24h 96h Red Man Syndrome — infuse slowly
Teicoplanin 200–400mg – 5mL
Roll gently
NS / D5W Over 30 minutes
If foaming: wait 15min
Immediate 24h Only if clear yellow to dark yellow
Linezolid Premix:
100mL / 200mg
200mL / 400mg
300mL / 600mg
NS / D5W Over 30–120 minutes RT Protect from light; yellow color OK
Daptomycin 500mg – 10mL NS ONLY 500mg in 50mL / 30min 12h 48h Store reconstituted vial in fridge
Tigecycline 50mg – 5mL NS / D5W 50–100mg in 100mL / 30–60min
Max: 1 mg/mL
24h 48h Normal: yellow-orange
Discard if green/black
Clindamycin Ready solution NS / D5W Conc ≤18 mg/mL; Rate ≤30 mg/min:
300mg / 50mL / 10min
600mg / 50mL / 20min
900mg / 50–100mL / 30min
1200mg / 100mL / 40min
24 days Max 1200 mg/hr
🔵FLUOROQUINOLONES
DrugReconstitutionDiluentDilution & RateRT StabilityFridgeNotes
Moxifloxacin Premix: 250mL / 400mg 400mg over 1 hour Store at RT Do NOT Refrigerate!
Precipitates if refrigerated
Store at RT — Do NOT Refrigerate!
Levofloxacin Premix:
100mL / 500mg
150mL / 750mg
NS / D5W 500mg / 60min
750mg / 90min
3 days (diluted) Protect from light

Duration of Antibiotic Therapy

↑ Respiratory Tract Infections
Community-Acquired Pneumonia5 days
Aspiration Pneumonia5 days
Hospital-Acquired Pneumonia7 days
Ventilator-Associated Pneumonia7 daysLonger if slow response, abscess, empyema
↑ Urinary Tract Infections
Complicated UTI5–7 days
Prostatitis2–4 weeks
↑ Skin & Soft Tissue Infections
Skin Abscess7–14 days
Necrotizing Fasciitis7–14 days
Cellulitis / Erysipelas7–14 days
Diabetic Foot Infection1–2 weeks
✓ Bone & Joint Infections
Osteomyelitis6 weeks
Prosthetic Joint (PJI)4–6 weeks6 weeks if joint involved; 3–4 weeks if extensive
Depends on Organism & Antibiotic
⊕ CNS Infections
Bacterial Meningitis7–21 days
Encephalitis14–21 days
↑ Infective Endocarditis
Bacterial Endocarditis2–6 weeksDepends on Organism & Antibiotic
↑ Intra-abdominal Infections
Spontaneous Bacterial Peritonitis7 days
IAI / Cholangitis / Cholecystitis4–7 days
Necrotizing Pancreatitis7–10 days
✓ CRBSI (Catheter-related Bloodstream Infections)
Central Line-Associated Bloodstream Infection (CLABSI)10–14 days
CRBSI (Catheter-related Bloodstream Infection)4–7 days
UTI — Duration by Drug & Patient Sex
Drug Nitrofurantoin TMP-SMX Fosfomycin Beta-Lactams Fluoroquinolones
Male / Female Male / Female Single (PO) Male / Female Male / Female
Duration 7 Days / 5 Days 7 Days / 3 Days Single Dose 7 Days / 5 Days 5 Days / 3 Days
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Quick Reference: Critical Reminders

Do NOT Use D5WAmpicillin/Sulbactam (short stability)
NS OnlyDaptomycin
No RefrigerationMoxifloxacin (precipitates if refrigerated)
Protect from LightCeftazidime, Cefepime, Cefazolin, Cefoxitin, Linezolid, Levofloxacin
Extended InfusionPip/Tazo (4h) | Meropenem (3h) | Imipenem (3h)
Shake WellCefazolin, Imipenem/Cilastatin
Discard if Wrong ColorTigecycline: discard if green/black (normal: yellow-orange)
Infusion ReactionsVancomycin — Red Man Syndrome (infuse slowly)