Intravenous to oral antibiotics versus intravenous antibiotics: a step-up or a step-down for extended spectrum β-lactamase (ESBL)-producing urinary tract infections without concomitant bacteraemia?

•Carbapenem stewardship can incorporate step-down oral antibiotics.•This study evaluated antibiotic use in ESBL-producing organisms in urinary tract infections without concurrent bacteraemia.•No difference in clinical outcomes with the use of a carbapenem compared with step-down oral antibiotics.•Consider an early transition to step-down oral antibiotics.