Should ertapenem use in refractory HS be managed by ID, and how many times would you consider using it in a patient?

I wish that infectious disease would manage severe hidradenitis suppurativa with IV ertapenem. In my experience, ID is typically reluctant to use ertapenem. I can understand that they are thinking about antibiotic stewardship and maintaining the utility of this broad-spectrum antibiotic. When I have utilized it for patients, ID allowed treatment, but required that I actually be the one writing the orders. I've been working to share the evidence with ID doctors in the hopes that they will see the utility in HS, but it's been a struggle. My friends in ID were helpful in teaching me how to go about getting a patient a PICC line and home nursing for home IV ertapenem. I highly recommend talking to an ID friend to help with that, especially if y...