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tobramycin sulfate — CareFirst (Caremark)

Complicated and recurrent urinary tract infections caused by P. aeruginosa, Proteus species (indole-positive and indole-negative), E. coli, Klebsiella species, Enterobacter species, Serratia species, S. aureus, Providencia species, and Citrobacter species

Initial criteria

  • Bacterial cultures are obtained prior to and during treatment to identify etiologic organisms and test susceptibility to tobramycin
  • Patient has a proven or strongly suspected infection caused by bacteria susceptible to tobramycin
  • If causative organisms are resistant to tobramycin, other appropriate therapy should be used
  • In serious life‑threatening gram‑negative infections, tobramycin may be initiated empirically before susceptibility results are available; continuation must be based on susceptibility and clinical response