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To assist with the resolution of these cases, a formal ID
consultation may be requested by the attending physician.
If a formal consultation is not requested, an informal
antimicrobial consultation will take place for which the ID
recommendations and rationale will be documented in the
patient’s medical record. These cases will be followed-up by
the UWHC MUE and P&T Committees for quality
improvement purposes.
The decentral pharmacist will document the name of the ID physician who approved
the order in the comments section of the medication order in the pharmacy order
entry computer system.
This policy does not apply to orders written by ID Section physicians.
Antimicrobials restricted to ID Approval
Formulary antimicrobials:
Aztreonam (Azactam )
Daptomycin (Cubicin )
Ertapenem (Invanz®)
Levofloxacin (Levaquin®) – with some exceptions
Linezolid (Zyvox®)
Liposomal amphotericin B (Ambisome®)
Meropenem (Merrem®) - with some exceptions
Micafungin (Mycamine®)
Posaconazole (Noxafil®)
Rifampin, intravenous only
Tigecycline (Tygacil®)
Voriconazole (Vfend®)
Nonformulary antimicrobials:
Anidulafungin (Eraxis®)
Caspofungin (Cancidas®)
Quinupristin/Dalfopristin (Synercid®)