develops hospital-acquired pneumonia & started on empiric vancomycin + cefepime. Sputum cultures grow E. coli with the following susceptibilities:
Ceftriaxone = S Cefepime = S Piperacillin/tazobactam = S
Ceftriaxone
Explanation: Ceftriaxone will cover the E. coli π¦ but does not unnecessarily cover Pseudomonas aeruginosa π«Cefepime and piperacillin/tazobactam are antipseudomonal agents and are NOT the most appropriate choice when a narrower spectrum agent can be used. Reserving antipseudomonal agents when possible is an important antimicrobial stewardship strategy to preserve their utility β