RT Book, Section
A1 Mody, Lona
A1 Riddell, James
A1 Kaye, Keith S.
A1 Chopra, Teena
A2 Williams, Brie A.
A2 Chang, Anna
A2 Ahalt, Cyrus
A2 Chen, Helen
A2 Conant, Rebecca
A2 Landefeld, C. Seth
A2 Ritchie, Christine
A2 Yukawa, Michi
SR Print(0)
ID 1100068689
T1 Common Infections
T2 Current Diagnosis & Treatment: Geriatrics, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179208-0
LK accessmedicine.mhmedical.com/content.aspx?aid=1100068689
RD 2024/04/18
AB Diagnosing  infections  in  older  adults  may  be  challenging  because  of  atypical  presentations  and  the  frequent  presence  of  cognitive  impairment.Delirium,  falls,  or  functional  decline  may  be  the  presenting  and,  sometimes,  only  sign  of  an  infection.  Fever  may  be  absent.Hospitalization  and  deaths  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  disease,  immunizations,  prevention  of  pressure  ulcers,  attention  to  infection  prevention  practices,  such  as  hand  hygiene  compliance,  appropriate  gown  and  glove  use,  oral  hygiene  and  judicious  antibiotic  usage,  are  key  preventive  measures  to  reduce  infections  and  enhance  quality  of  care  in  older  adults  in  skilled  nursing  facilities.