Secondary care staff: Please note that though there may be drugs listed with a Formulary status in this section, you should refer to the Acute Trust's antibiotic policy as there are some restrictions, which require microbiology approval before they can be supplied by Pharmacy.
On consultant microbiology recommendation only, or specialist ophthalmology use
As per Herefordshire Antibiotic Guidelines
Dosing should usually be based on 7mg/kg once daily, calculated using the Hartford nomogram, available as a gentamicin calculator on the intranet.
Levels should be taken 6-13 hours after the dose and re-entered into the calculator to confirm an appropriate dosage interval
The Hartford dosage schedule is not appropriate for soft tissue infections or bacterial endocarditis, Please see the Trust guidelines on the intranet link as above
Adult prophylactic doses should be 2mg/kg to a maximum of 240mg rounded to the nearest 20mg
For paediatric use please see local guidelines on intranet
For neonatal use please see departmental guidelines.