Nursing Report: Systematic Review of Pneumonia and ATS/IDSA Guidelines

This nursing report presents a systematic and integrative review addressing the PICO question: "Compliance of ATS / IDSA (American Thoracic society/ Infectious disease society of America) guidelines in diagnosing and treating patients with pneumonia in nursing homes to decrease the hospitalizations." The report analyzes several studies, including those focusing on adherence to antibiotic treatment guidelines, the efficacy of CURB-65 score, and predictors of organ failure. The review utilizes databases like CINHAL and Medline and includes an evidence table summarizing the studies' key findings, research designs, and limitations. The conclusion suggests that while the ATS/IDSA guidelines are generally useful, mixed results were obtained regarding their impact on reducing hospitalization rates, emphasizing the need for more randomized control trials and collaborative studies. The report underscores the importance of guideline adherence in improving patient outcomes and reducing healthcare costs, particularly in the context of elderly patients and community-acquired pneumonia.