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  • A three-step critical pathway for community-acquired pneumonia reduces duration of hospital stay and intravenous antibiotic use by 2 days

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Adult nursing
Randomised controlled trial
A three-step critical pathway for community-acquired pneumonia reduces duration of hospital stay and intravenous antibiotic use by 2 days
  1. Paula Peyrani
  1. Division of Infectious Diseases, University of Louisville, Louisville, Kentucky, USA
  1. Correspondence to: Dr Paula Peyrani
    Division of Infectious Diseases, University of Louisville, 501 E Broadway, MedCenter One, Suite 120, Louisville, KY 40202, USA; p0peyr01{at}louisville.edu

http://dx.doi.org/10.1136/eb-2012-101000

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Commentary on: Carratalà J, Garcia-Vidal C, Ortega L, et al. Effect of a 3-step critical pathway to reduce duration of intravenous antibiotic therapy and length of stay in community-acquired pneumonia: a randomized controlled trial: a 3-step critical pathway for CAP. Arch Intern Med 2012;172:922–8.OpenUrlPubMedWeb of Science

Implications for practice and research

  • Although early switch therapy and hospital discharge are well-recognised processes, current practices show that these practices are not well established worldwide.

  • Pathways are useful tools to remind treating physicians about criteria for early switch and discharge.

  • A behavioural change may be necessary in order to decrease the gap between national recommendations and current management of hospitalised patients with community-acquired pneumonia.

Context

Community-acquired pneumonia (CAP) remains within the 10 …

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