Pneumonia in Older Residents of Long-Term Care Facilities

摘要: Compared with community-dwelling persons, residents in long-term care facilities have more functional disabilities and underlying medical illnesses are at increased risk of acquiring infectious diseases. Pneumonia is the leading cause morbidity mortality this group. Risk factors include unwitnessed aspiration, sedative medication, comorbidity. Recognition may be delayed because, population, pneumonia often presents without fever, cough, or dyspnea. Accurate identification etiologic agent hampered because most patients cannot produce a suitable sputum specimen. It difficult to distinguish colonization from infection. Colonization by Staphylococcus aureus gram-negative organisms can result aspiration oral gastric contents, which could lead pneumonia. Aspiration contents also pneumonitis. This condition not initially resolve antibiotics. Antibiotics for treatment should cover Streptococcus pneumoniae, Haemophilus influenzae, rods, S. aureus. Acceptable choices quinolones an extended-spectrum beta-lactam plus macrolide. Treatment last 10 14 days. associated significant up two years. Dementia related independently death rate within first week after pneumonia, regardless treatment. Prevention strategies vaccination against pneumoniae influenza on admission facility. article focuses recent recommendations recognition respiratory symptoms criteria designation probable provides guide hospitalization, antibiotic use, prevention.