In hospitalized pregnant women with pyelonephritis who have clinically improved (afebrile for 24-48 hours), does oral step-down with a susceptibility-matched antibiotic compared to continued IV antibiotics reduce length of stay without increasing tre

No direct evidence for the specific comparison between oral step-down and continued IV antibiotics in hospitalized pregnant women with pyelonephritis was identified. Current guidelines recommend transitioning to oral antibiotics after clinical improvement for complicated UTIs, suggesting potential applicability but highlighting the need for patient-specific considerations.