Non-AmpC Citrobacter spp
is admitted with pyelonephritis. Blood cultures
grow a GNB that is identified as a Citrobacter spp by rapid diagnostics and cefepime is selected for treatment. Two days later, final identification and susceptibilities reveal a C. koseri susceptible to cefazolin.
Can antibiotics be deescalated to cefazolin?
How did others respond?
