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Review
. 2017 Dec;31(4):689-713.
doi: 10.1016/j.idc.2017.07.015. Epub 2017 Sep 13.

Bacterial Pneumonia in Older Adults

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Review

Bacterial Pneumonia in Older Adults

Oryan Henig et al. Infect Dis Clin North Am. 2017 Dec.

Abstract

The incidence of pneumonia increases with age, and is particularly high in patients who reside in long-term care facilities (LTCFs). Mortality rates for pneumonia in older adults are high and have not decreased in the last decade. Atypical symptoms and exacerbation of underlying illnesses should trigger clinical suspicion of pneumonia. Risk factors for multidrug-resistant organisms are more common in older adults, particularly among LTCF residents, and should be considered when making empiric treatment decisions. Monitoring of clinical stability and underlying comorbid conditions, potential drug-drug interactions, and drug-related adverse events are important factors in managing elderly patients with pneumonia.

Keywords: Empiric treatment; Long-term care facility; Multidrug-resistant organisms; Older adults; Pneumonia.

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Figures

Fig. 1
Fig. 1
Distribution of community-acquired pneumonia (CAP) and subsets of CAP, including CAP among long-term care facility residents (LTCF), and CAP owing to multidrug-resistant organisms (MDROs).

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