Evid Based Nurs doi:10.1136/eb-2012-101000
  • 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}

Commentary on:

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.


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

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