5-minute Updates - LibGuides at Nova Scotia Health

Summary

As per the Therapeutic Interchange Policy, medication orders for ceftriaxone 2 grams IV q24h were previously interchanged to 1 gram IV q24h for most indications*.
Determining the appropriateness of an order for ceftriaxone 2 grams from the pharmacy dispensary is challenging.
In addition, certain populations (e.g., obesity, critical illness) may be at higher risk of treatment failure with 1 gram dosing.

Recent Posts

Community Firstline

Summary Guidelines for many infections commonly treated in the community setting are now available in Firstline. Adult guidelines are housed in NS Health Firstline while pediatric and obstetric guidelines are housed in the IWK Firstline app. Moving between the two is an easy process. Click on the link below for more information. PRINT - POST - SHARE...

Why Adding the Indication Matters

Summary Background Point prevalence surveys done by the Antimicrobial Stewardship team have shown that only 75-80% of antimicrobial orders written have a documented indication. When OPOR comes into effect, all orders for antimicrobials will require you to select an indication from a drop-down menu before filing the prescription. PRINT - POST - SHARE ...

Balance Trial

Summary CLINICAL QUESTION: Is 7-days of antibiotics non-inferior to 14-days for (most) bacteremia?. PRINT - POST - SHARE ...

FIRSTLINE Gets a Makeover!

Summary Firstline has been available to users within Nova Scotia Health since March 2020 and has over 3000 unique users. Initially, the focus was on acute care guidelines, but over the next few months, we will be expanding to include guidelines for community-based infections. PRINT - POST - SHARE ...

Removal of the Ceftriaxone Therapeutic Interchange

Summary