Mihai Sava

De-Escalation of Broad-Spectrum and Last-Resort Antibiotics in Critically Ill Adults with Gram-Negative Infections: A Scoping Review and Evidence-Informed Framework for Tertiary-Care ICUs

Background: Early broad-spectrum empirical therapy is life-saving in critical illness, but its unnecessary continuation drives resistance, toxicity, and cost; antibiotic de-escalation is the principal stewardship strategy for resolving this tension, yet its evidence base is fragm...