How can we improve the management and outcome of pneumonia in the elderly?

European Respiratory Journal

Volumn 32, Issue 1, 2008, Pages 12-14

  Brito, V ^a   Niederman, M S ^a,b  

^a WINTHROP UNIVERSITY HOSPITAL   (United States)

^b STATE UNIVERSITY OF NEW YORK   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; CEFEPIME; ERTAPENEM; LEVOFLOXACIN; SERUM ALBUMIN;

AGING; ANTIBIOTIC THERAPY; BACTERIAL COLONIZATION; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL FEATURE; COMMUNITY ACQUIRED PNEUMONIA; EDITORIAL; ELDERLY CARE; GRAM NEGATIVE BACTERIUM; HEART DISEASE; HUMAN; METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS; MORBIDITY; MORTALITY; MYCOPLASMA PNEUMONIAE; NURSING HOME; PNEUMONIA; PRIORITY JOURNAL; PSEUDOMONAS AERUGINOSA; RISK ASSESSMENT; AGED; COMMUNICABLE DISEASE; CROSS INFECTION; HOME FOR THE AGED; MULTIDRUG RESISTANCE; NOTE;

AGED; AGING; COMMUNITY-ACQUIRED INFECTIONS; CROSS INFECTION; DRUG RESISTANCE, MULTIPLE, BACTERIAL; HOMES FOR THE AGED; HUMANS; NURSING HOMES; PNEUMONIA;

EID: 52749089784     PISSN: 09031936     EISSN: 13993003     Source Type: Journal    
DOI: 10.1183/09031936.00039908     Document Type: Editorial

References (20)

1. Fry AM, Shay DK, Holman RC, Curns AT, Anderson LJ. Trends in hospitalizations for pneumonia among persons aged 65 years or older in the United States, 1988-2002. JAMA 2005; 294: 2712-2719.
2. Marston BJ, Plouffe JF, File TM Jr, et al. Incidence of community-acquired pneumonia requiring hospitalization. Results of a population-based active surveillance study in Ohio. The Community-Based Pneumonia Incidence Study Group. Arch Intern Med 1997; 157: 1709-1718.
3. Kaplan V, Clermont G, Griffin MF, et al. Pneumonia: still the old man's friend? Arch Intern Med 2003; 163: 317-323.
4. Riquelme R, Torres A, el-Ebiary M, et al. Community-acquired pneumonia in the elderly. Clinical and nutritional aspects. Am J Respir Crit Care Med 1997; 156: 1908-1914.
5. Metlay JP, Schulz R, Li YH, et al. Influence of age on symptoms at presentation in patients with community-acquired pneumonia. Arch Intern Med 1997; 157: 1453-1459.
6. Waterer GW, Kessler LA, Wunderink RG. Delayed administration of antibiotics and atypical presentation in community-acquired pneumonia. Chest 2006; 130: 11-15.
7. El-Sholh AA, Pietrantoni C, Bhat A, et al. Colonization of dental plaques: a reservoir of respiratory pathogens for hospital-acquired pneumonia in institutionalized elders. Chest 2004; 126: 1575-1582.
8. Niederman MS. Pathogenesis of airway colonization: lessons learned from studies of bacterial adherence. Eur Respir J 1994; 8: 1737-1740.
9. Valenti WM, Trudell RG, Bentlye DW. Factors predisposing to oropharygeal colonization with gram negative bacilli in the aged. N Engl J Med 1978; 298: 1108-1111.
10. Donowitz GR, Cox HL. Bacterial community-acquired pneumonia in older patients. Clin Geriatr Med 2007; 23: 515-534.
11. Janssens JP, Krause KH. Pneumonia in the very old. Lancet Infect Dis 2004; 4: 112-124.
12. Kothe H, Bauer T, Marre R, et al. Outcome of community-acquired pneumonia: influence of age, residence status and antimicrobial treatment. Eur Respir J 2008; 32: 139-146.
13. American Thoracic Society/Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and health care-associated pneumonia. Am J Respir Crit Care Med 2005; 171: 388-416.
14. Carratalà J, Mykietiuk A, Fernández-Sabé N, et al. Health care-associated pneumonia requiring hospital admission: epidemiology, antibiotic therapy, and clinical outcomes. Arch Intern Med 2007; 167: 1393-1399.
15. Micek ST, Kollef KE, Reichley RM, et al. Health care-associated pneumonia and community-acquired pneumonia: a single-center experience. Antimicrob Agents Chemother 2007; 51: 3568-3573.
16. Arancibia F, Bauer TT, Ewig S, et al. Community-acquired pneumonia due to gram-negative bacteria and Pseudomonas aeruginosa: incidence, risk and prognosis. Arch Intern Med 2002; 162: 1849-1858.
17. El Solh AA, Pietrantoni C, Bhat A, et al. Indicators of potentially drug-resistant bacteria in severe nursing home-acquired pneumonia. Clin Infect Dis 2004; 39: 474-480.
18. Loeb M, Carusone SC, Goeree R, et al. Effect of a clinical pathway to reduce hospitalizations in nursing home residents with pneumonia: a randomized controlled study. JAMA 2006; 295: 2503-2510.
19. Yakovlev SV, Stratchounski LS, Woods GL. Ertapenem versus cefepime for initial empirical treatment of pneumonia acquired in skilled-care facilities or in hospitals outside the intensive care unit. Eur J Clin Microbiol Infect Dis 2006; 25: 633-641.
20. Niederman MS, Brito V. Pneumonia in the older patient. Clin Chest Med 2007; 28: 751-771.