{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T08:00:34Z","timestamp":1785225634679,"version":"3.55.0"},"reference-count":17,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In a case of a patient with postoperative septic arthritis and hardware-associated osteomyelitis due to methicillin-susceptible Staphylococcus aureus that is susceptible to multiple oral agents, the clinician must navigate not only a treatment decision between oral and intravenous antibiotics but also the ethical tension between evidence-based practice and the patient's social instability. We examined 3 interrelated ethical conflicts: balancing clinician\u2013patient relationship with organizational priorities, weighing the benefits and harms of competing treatment decisions, and considering how patient vulnerability may shape professional duties.<\/jats:p>","DOI":"10.1093\/cid\/ciag440","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T11:51:00Z","timestamp":1783770660000},"source":"Crossref","is-referenced-by-count":0,"title":["Right Antibiotic, Right Discharge: Ethical Tensions Between Antimicrobial Stewardship and Social Vulnerability"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8324-6414","authenticated-orcid":false,"given":"Erica J","family":"Stohs","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, Department of Internal Medicine, Creighton University Medical Center , Omaha, Nebraska ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9362-0553","authenticated-orcid":false,"given":"Jacob M","family":"Dahlke","sequence":"additional","affiliation":[{"name":"Department of Healthcare Ethics, Nebraska Medicine\u2013University of Nebraska Medical Center , Omaha, Nebraska ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"2026072803223024200_ciag440-B1","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1001\/jamainternmed.2018.6226","article-title":"Association of 30-day mortality with oral step-down vs continued intravenous therapy in patients hospitalized with Enterobacteriaceae bacteremia","volume":"179","author":"Tamma","year":"2019","journal-title":"JAMA Intern Med"},{"key":"2026072803223024200_ciag440-B2","doi-asserted-by":"crossref","first-page":"e2020166","DOI":"10.1001\/jamanetworkopen.2020.20166","article-title":"Oral \u03b2-lactam antibiotics vs fluoroquinolones or trimethoprim-sulfamethoxazole for definitive treatment of Enterobacterales bacteremia from a urine source","volume":"3","author":"Sutton","year":"2020","journal-title":"JAMA Netw Open"},{"key":"2026072803223024200_ciag440-B3","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1056\/NEJMoa1710926","article-title":"Oral versus intravenous antibiotics for bone and joint infection","volume":"380","author":"Li","year":"2019","journal-title":"N Engl J Med"},{"key":"2026072803223024200_ciag440-B4","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1056\/NEJMoa1808312","article-title":"Partial oral versus intravenous antibiotic treatment of endocarditis","volume":"380","author":"Iversen","year":"2019","journal-title":"N Engl J Med"},{"key":"2026072803223024200_ciag440-B5","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.amjmed.2021.10.007","article-title":"Oral is the new IV. Challenging decades of blood and bone infection dogma: a systematic review","volume":"135","author":"Wald-Dickler","year":"2022","journal-title":"Am J Med"},{"key":"2026072803223024200_ciag440-B6","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1001\/jamainternmed.2023.8232","article-title":"Complication rates of central venous catheters: a systematic review and meta-analysis","volume":"184","author":"Teja","year":"2024","journal-title":"JAMA Intern Med"},{"key":"2026072803223024200_ciag440-B7","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1017\/ice.2018.8","article-title":"Medically attended catheter complications are common in patients with outpatient central venous catheters","volume":"39","author":"Spires","year":"2018","journal-title":"Infect Control Hosp Epidemiol"},{"key":"2026072803223024200_ciag440-B8","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1093\/jac\/dky133","article-title":"Emergency department visits during outpatient parenteral 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