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Review
. 2017 Dec;31(4):731-742.
doi: 10.1016/j.idc.2017.07.010.

Sepsis in Older Adults

Theresa A Rowe  1 , June M McKoy  2
Affiliations
Review

Sepsis in Older Adults

Theresa A Rowe et al. Infect Dis Clin North Am. 2017 Dec.

Abstract

Sepsis disproportionally affects older adults with more than 60% of sepsis diagnoses attributed to adults aged 65 years and older. Identifying, diagnosing, and treating sepsis in older individuals remain a challenge for clinicians, and few studies focus specifically on older adults with multiple medical comorbidities. Principles guiding management of sepsis for older adults are generally the same as in younger adults; however, unique considerations particularly pertinent to the care older adults include antimicrobial selection and dosing, delirium management, and goals of care discussions. Other factors, such as medical comorbidities, cognitive impairment, and functional status, impact outcomes more than age alone.

Keywords: Infections; Older adults; Outcomes; Sepsis.

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