Vancomycin (Dosing per pharmacy)
Clindamycin 900 mg IV q8h
Piperacillin/tazobactam (extended 4-hr infusion) 3.375 g IV q8h
Cefepime 1 g IV q8h
Ciprofloxacin 400 mg IV q12h
Case-cohort studies and case reports have suggested some benefit to treatment with intravenous immunoglobulin (IVIG) in specific circumstances (e.g., streptococcal toxic shock). However, due to the lack of randomized controlled trials, IVIG should probably be reserved for select patients. Infectious Diseases consult is advised.