Before converting from intravenous to oral antibiotics, the following SWITCH criteria should be met:

SWITCH criteria

Benefits to SWITCH include decreased risk of infection from intravenous lines, decreased risk of thrombophlebitis, decreased patient discomfort, savings in nursing time and costs. Please consult the unit pharmacist or ICU specialist if you are unsure before SWITCHing.

SWITCH options
* Infections that are unsuitable for SWITCH include bone/joint/CNS infection, bacterial endocarditis, cystic fibrosis/bronchiectasis, undrained abscesses, infected prosthesis, and Staphylococcus aureus bacteraemia
** WBC 4-11 or improving, vital signs normal or normalising

Information supplied by Capital & Coast District Health Board Infectious Diseases Service 2019