Pneumonia in the elderly in the emergency department

被引:0
作者
Breining, A. [1 ]
Cracco, C. [2 ]
机构
[1] Ctr Hosp Pitie Salpetriere, Serv Geriatr, 47-83 Blvd Hop, F-75013 Paris, France
[2] Ctr Hosp Angouleme, Serv Reanimat Polyvalente, Angouleme, France
来源
CAHIERS DE L ANNEE GERONTOLOGIQUE | 2011年 / 3卷 / 02期
关键词
Pneumonia; Elderly; Emergency department;
D O I
10.1007/s12612-011-0178-1
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Community-acquired pneumonia is frequent in the elderly. Because of its subtle clinical presentation, and atypical symptoms, chest radiography is recommended as part of the routine evaluations to establish the diagnosis for all patients. Tachypnea must be systematically researched. Prognostic scoring systems help to decide if hospitalization is necessary or not, but do not take the social context into account. Streptococcus pneumoniae is still the main pathogen identified in the elderly; however the initial empirical antibiotherapy must be active against Gram-negative bacilli and Staphylococcus species.
引用
收藏
页码:56 / 61
页数:6
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