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?

 

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