VA-GLA ID section has developed guidelines for issues encountered amongst our specific patient population. These guidelines have been tailored to the antimicrobial flora prevalent at VA-GLA and, as such, may not be applicable at other institutions. 

Guidelines should not be viewed as rules of practice that require 100% compliance. Rather, they should be used to assist in clinical decision-making.  Furthermore, guidelines may not be applicable to all patients. If questions or problems arise, then an ID consultant should be contacted.

BIOFIRE BLOOD CULTURE IDENTIFICATION GUIDE (2017)

GENERAL
 • Is my patient getting better? What to expect regarding time frame for improvement in skin/soft tissue infections and pneumonia
 • Guide to de-escalation of antipseudomonal therapy (2013)

RESPIRATORY CONDITIONS
 • Influenza (2017-2018)
 • Pneumonia (2015)
 • Bronchitis and Sinusitis (2009)

BACTEREMIA AND ENDOCARDITIS
 • Staphylococcus aureus bacteremia and infective endocarditis (2014)

OTHER BACTERIAL INFECTIONS
 • Clostridium difficile infection (2018)
 • Guide to gram positive infections (2013)
 • Skin/soft tissue infection (2017)  CLICK HERE FOR ANTIBIOTIC ALGORITHM FOR DIABETIC FOOT INFECTION
 • Complicated urinary tract infection (2019) and Less Is More Algorithm for urine culture management (2019)

HIV EXPOSURE
 • Occupational exposure to blood or body fluids (2017)
 • Non-occupational exposure (2017)
 • HIV pre-exposure prophylaxis (national VA guidance)

ZIKA VIRUS EVALUATION

ANTIBIOTIC USE
 • Vancomycin dosing (2013)
 • Vancomycin adverse event (2013)
 • Aminoglycosides (including once daily administration)
 • Polymyxin B, colistin use and dosing (2016)
 • Use of ß-lactam agents in patients with history of allergy (2007)

MENINGOCOCCAL VACCINATION (2017)

PROPHYLAXIS
 • Antibiotic prophylaxis for surgical procedures (2018)
 • Antibiotic prophylaxis for transvascular hepatic chemoembolization (2008)
 • Antibiotic prophylaxis for prostate biopsy (2015)