Duke University Hospital Duke Raleigh Hospital Duke Regional Hospital

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Adult Pediatric All

Usual Dose & Administration

Usual Adult Dose

2 g IV q8h

Adjustment of Dose & Administration

Indication-Specific Adjustment

Indication                                           CrCl (mL/min)
>30 10-29 <10, HD CRRT

bacteremia (including MSSA), osteomyelitis,

endocarditis, pneumonia, wound infections

2g q8h 1g -2g q12h

1g q24h

OR 2g/2g/3g post HD

1g q8h
UTI (complicated) 1g q8h 500mg - 1gm q12h

500mg q24h

OR 1g/1g/2g post HD

500mg q12h

Surgical prophylaxis:

weight <120 kg: 2g

weight >=120 kg: 3g

Drug-Specific Information

  • Methicillin-sensitive isolates only
    • Cefazolin should be used in cases where pathogen is susceptible to cefazolin or methicillin (ie excludes MRSA, MRSE and coagulase-negative staphylococci)

Cost Index

$ (1-10)

General Notes

  1. Up-to-date cost information, click here 
  2. IV antimicrobials outpatient (OPAT) dosing, click here
  3. Obesity dosing weight recommendations here
  4. Helpful drug-drug interaction check website here 
  5. When dosing guidance is provided it is important to note the following:

Fixed (ie non weight-based) doses in adults are historically based on a 70 kg patient. Specific disease states or individual patients may warrant dosages that differ from the above recommendations. Since product-specific criteria for dose adjustment based on creatinine clearance exist, consult product information regarding specific recommendations for dosage adjustment based on estimated creatinine clearance.