TY - CHAP M1 - Book, Section TI - Common Infections A1 - Montoya, Ana A1 - Jump, Robin A1 - Mody, Lona A2 - Walter, Louise C. A2 - Chang, Anna A2 - Chen, Pei A2 - Harper, G. Michael A2 - Rivera, Josette A2 - Conant, Rebecca A2 - Lo, Daphne A2 - Yukawa, Michi PY - 2021 T2 - Current Diagnosis & Treatment Geriatrics, 3e AB - ESSENTIALS OF DIAGNOSISDiagnosing infections in older adults can be challenging because they may present with atypical symptoms and frequently do so in patients with cognitive impairment.Atypical symptoms include delirium, falls, or functional decline. Fever and other localizing symptoms may be subtle, absent, or difficult to elicit.Hospitalization and death as a consequence of pneumonia, influenza, and other respiratory tract infections are common.Urinary tract infection remains the most common overdiagnosed bacterial infection. Asymptomatic bacteriuria is common in older adults and requires no treatment.Optimal management of chronic diseases, immunizations, prevention of pressure ulcers, oral hygiene, judicious antibiotic use, and attention to infection prevention practices, including hand hygiene and appropriate gown and glove use, are key preventive measures to reduce infections and enhance quality of care in older adults in skilled nursing facilities. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1180017996 ER -