Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: The clinical trial by Dr Loeb and colleagues1 evaluated a pathway for the management of lower respiratory tract infection (LRTI) including pneumonia in nursing home residents in Hamilton, Ontario, concluding that its use can result in outcomes comparable to usual care while reducing hospitalizations and costs. However, I believe that several limitations affect its general applicability.
Mylotte JM. Reducing Hospitalizations in Nursing Home Patients With Pneumonia. JAMA. 2006;296(18):2206-2207. doi:10.1001/jama.296.18.2206