Home intravenous antimicrobials

Some patients may be eligible for intravenous antimicrobial treatment at home through our CHQ at Home and Hospital in the Home (HITH) service.

Help and referrals

If you work for Children's Health Queensland, access the referral and eligibility information on the intranet. To refer your patient contact the CHQ at Home team.

CHQ at Home Registrar

CHQ at Home Nurse coordinator

You'll also need approval from the infectious disease (ID) specialist or fellow for all home intravenous antimicrobial treatments. Call 07 3068 1111 to request approval. For help and advice with medicine suitability and dosing call us or the CHQ at Home pharmacist.

CHQ at Home pharmacist

Antimicrobial stewardship pharmacist

Approved HITH pathways are available for patients who:

Patients presenting to the emergency department are also eligible for the HITH pathway if they meet the meet the CHQ Hospital In the Home antibiotic guideline [PDF 443.46 KB] criteria for:

  • community acquired pneumonia
  • cellulitis
  • lymphadenitis
  • peri-orbital cellulitis
  • urinary tract infections
  • pyelonephritis.

Home IV antimicrobial prescribing guidelines

Before you prescribe an antimicrobial for home use consider the medicine's:

  • safety and effectiveness
  • appropriate intravenous access
  • appropriate dosage
  • medicine stability such as the temperature of the environment where it will be stored or used
  • device for administration such as a springfusor, infusion bag with pump or elastomeric device.

If you work for Children's Health Queensland, read the following home antimicrobial and administration device guidelines on the intranet.

Search parenteral antimicrobials and suitability for home use

Search parenteral antimicrobials

Supportive medication orders required for patients receiving IV antimicrobials at home

Prescribe the following supporting medicines in addition to the parenteral antimicrobial orders in ieMR before you transfer your patient from inpatient to the HITH service.

MedicineDosageUsage considerations

Sodium Chloride 0.9% flush

5-10 mL IV PRN

  • To flush IV access device pre and post medication administration
  • Some medicines are not compatible with sodium chloride 0.9 % and may require glucose 5 % as an IV flush

Long term heparin lock

Dilute 1 mL of 1000 units/mL Heparin with 9 mL Sodium Chloride 0.9%. Final concentration of 100 units/mL heparin.

Use 1 to 2 mL IV PRN as along term heparin lock
(volume is dependent on type of device)

  • Use for more than 24 hours
  • Not to be used for haemophilia patients

Cetirizine (Zyrtec)

1 to 2 years of age
0.25 mg/kg/dose (up to 2.5 mg/dose), twice daily PO

2 to 5 years of age
5 mg, daily PO
(can divide into 2 doses)

6 to 12 years of age
10 mg, daily PO
(can divide into 2 doses)

  • Chart as PRN order
  • Use in the event of allergic reaction

Adrenaline (Epipen)

If less than 20 kg:
Give 150 microgram as intramuscular injection

If more than 20 kg:
Give 300 microgram as intramuscular injection

  • Chart as a once only PRN order
  • Intramuscular injection
  • Use in the event of anaphylaxis
  • Quantify indications for administration under order

External resources

Last updated: October 2023