Gentamicin

C difficile risk
Low
Oral Bioavailability
N/A
Cost
$10-30/d

Dosing

Defined criteria for use and/or important safety considerations. See below for more information.

See nomogram (below)

General Information

  • Urinary tract infections, including urosepsis

  • Empiric therapy of severely ill patients with suspected Gram-negative infections (including Pseudomonas)

  • Synergy for some Gram-positive endocarditis infections

Does not cover Gram-positives or anaerobes

Increased nephrotoxicity

  • Amphotericin

  • Vancomycin

  • Cyclosporin

  • NSAIDs

  • Contrast

Increased ototoxicity

  • Loop diuretics (e.g. furosemide)

Non-depolarizing muscle relaxants may be potentiated

  • Formal audiology assessment if planning to use aminoglycoside for >14d or if symptoms develop.

  • Inform patient of risk of ototoxicity and to report any symptoms.

Antimicrobial class: Aminoglycoside

Pregnancy category: D

Average serum half life: 2 hours

Biliary penetration: Moderate

CSF penetration: Poor

Lung penetration: Therapeutic

Urine penetration: Therapeutic

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