Guideline Disclaimer and Purpose


This information has been developed specifically for use by qualified healthcare professionals working in Newfoundland and Labrador.

It is provided for informational purposes, and is not intended as a substitute for consulting qualified healthcare professionals. While efforts are made to maintain the accuracy/currency of this information, Eastern Health will not assume responsibility for the continued currency of the information, any errors or omissions, and/or any consequences arising from the use of the information.


These guidelines were developed by the Eastern Health Antimicrobial Stewardship Program, in collaboration with multiple health care professionals. They represent consensus based on evidence-based guidelines for adult patients informed by local microbiology and susceptibility patterns. The purpose of these guidelines is to guide antimicrobial therapy, leading to optimum patient outcomes while minimizing the development of Antimicrobial Resistance.

These guidelines do not replace clinical judgment.

A thorough clinical assessment is required to identify factors which may necessitate alternative or additional therapy.

The Eastern Health Infectious Diseases service is available for inpatient consultation (paediatric and adult), outpatient consultation (paediatric and adult), telephone consultation, telehealth, and eConsult.

Microbiology also has a microbiologist

on-call (MOC) for inquiries related to specimen collection and processing, antimicrobial susceptibility testing (AST) results/interpretation as well as specialized culture or testing requests.