Who can administer
  
                  May be administered by registered competent doctor or nurse/midwife
      
  
        Important information
  
                  
- If documented immediate, or severe delayed hypersensitivity reaction to penicillin - DO NOT GIVE THIS DRUG
 
- Reserve antimicrobial  Restricted for indications in the antimicrobial prescribing guidelines, or following approval by microbiology/infectious diseases
 
- See under 'Dose' for adjustments required in renal impairment
 
      
  
        Available preparations
  
                  Ceftazidime 500mg vial
Ceftazidime 1g vial
Ceftazidime 2g vial
      
  
        Reconstitution
  
                  Water for injection
5mL per 500mg
10mL per 1g
10mL per 2g
      
  
        Infusion fluids
  
                  Sodium chloride 0.9% or Glucose 5%
      
  
        Methods of intravenous administration
  
                  Intermittent intravenous infusion (may be used for all doses)
- Add required dose to 100mL and administer over 15 to 30 minutes
 
- A 50mL infusion may be used if required (eg fluid restriction) but the residual volume in the infusion line must be flushed through at the same rate to avoid significant underdosing
 
Slow intravenous injection (doses less than 2g)
- Administer over 3 to 5 minutes
 
      
  
        Dose in adults
  
                  Usual dose
- Give 1 to 2g every eight hours (elderly patient aged over 80 years, usual max 3g daily)
 
Severe infections (meningitis, septicaemia, hospital-acquired pneumonia, febrile patients with neutropenia)
- Give 2g every eight hours (elderly patient aged over 80 years, usual max 3g daily- but discuss with microbiology before reducing dose in severe infections)
 
Complicated urinary tract infection
- Give 1 to 2g every eight to twelve hours (elderly patient aged over 80 years, usual max 3g daily)
 
Cystic fibrosis
- Doses may be increased to 100 to 150mg/kg daily, in three divided doses (ie up to 9g daily)
 
Renal impairment (ref 1)
| eGFR (ml/minute/1.73m2) | 
Dose | 
Frequency | 
| 31 to 50 | 
1 to 2g | 
every 12 hours | 
| 16 to 30 | 
1 to 2g | 
every 24 hours | 
| 6 to 15 | 
500mg to 1g | 
every 24 hours | 
| less than 5 | 
500mg to 1g | 
every 48 hours | 
| Renal replacement therapy | 
Consult pharmacy or specialist literature | 
      
  
        Storage
  
                  Store below 250C
      
  
        References
  
                  SPC (Fortum) December 2024
1: GUH Antimicrobial Guidelines
      
  
        Therapeutic classification
  
                  Cephalosporin antibiotic