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One afterthought to your question xSF Med - the answer to your question may lie in economics and not medicine. Current healthcare economics demand less hospital time. The thinking, therefor, may be "I will give this ID patient the big gun and get him/her out sooner thus reducing the hospital time and therefore the cost."
Short term thinking. Second and third order effects are the patient needs to be re-admitted and now may have a drug resistant infection. Payers refusal to pay for re-admissions may turn that logic around though.
I can see a similar rationale playing out in outpatient clinics as well.
Just a thought.
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Honor Above All Else
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