Infectious Diseases in Older Adults of Long-Term Care Facilities: Update on Approach to Diagnosis and Management.

Abstract

The diagnosis, treatment, and prevention of infectious diseases in older adults in long-term care facilities (LTCFs), particularly nursing facilities, remains a challenge for all health providers who care for this population. This review provides updated information on the currently most important challenges of infectious diseases in LTCFs. With the increasing prescribing of antibiotics in older adults, particularly in LTCFs, the topic of antibiotic stewardship is presented in this review. Following this discussion, salient points on clinical relevance, clinical presentation, diagnostic approach, therapy, and prevention are discussed for skin and soft tissue infections, infectious diarrhea (Clostridium difficile and norovirus infections), bacterial pneumonia, and urinary tract infection, as well as some of the newer approaches to preventive interventions in the LTCF setting.

• Authors: Robin L P Jump, Christopher J Crnich, Lona Mody, Suzanne F Bradley, Lindsay E Nicolle, Thomas T Yoshikawa
• Journal: Journal of the American Geriatrics Society (J Am Geriatr Soc) Vol. 66 Issue 4 Pg. 789-803 (04 2018) ISSN: 1532-5415 [Electronic] United States
• PMID: 29667186 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S., Research Support, U.S. Gov't, P.H.S., Review)
• Copyright: © 2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society.

Chemical References

• Anti-Bacterial Agents

Topics

• Aged
• Anti-Bacterial Agents (therapeutic use)
• Caliciviridae Infections (diagnosis, therapy)
• Clostridium Infections (diagnosis, therapy)
• Communicable Diseases (diagnosis, drug therapy)
• Drug Resistance, Bacterial
• Humans
• Inappropriate Prescribing (adverse effects, prevention & control)
• Nursing Homes (statistics & numerical data)
• Practice Guidelines as Topic (standards)
• Urinary Tract Infections (diagnosis, therapy)