Community-acquired pneumonia at elderly and senile ages: the features of diagnosis and treatment

DOI: https://doi.org/10.29296/25877305-2021-02-08
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Issue: 
2
Year: 
2021

V. Skvortsov(1), MD; Professor B. Levitan(2), MD; M. Lunkov(3) (1)Volgograd State Medical
University (2)Astrakhan State Medical University (3)V.A. Almazov National Medical Research Centre, Saint
Petersburg

Community-acquired pneumonia is often misdiagnosed and improperly treated. This disease can be caused by various microorganisms, the most common of which are pneumococcus, atypical pathogens, such as Mycoplasma pneumoniae and Chlamydophila pneumoniae, Staphylococcus aureus and some gram-negative bacilli. To identify the causative agent of pneumonia in the elderly is a complex task because more than 50% of patients do not have a productive cough at diagnosis. Antimicrobial therapy should be initiated as soon as possible, especially in cases that the patient requires hospitalization. Empirical therapy with antibacterial drugs is usually prescribed prior to a microbiological study to establish the causative agent of the disease. When establishing the pathogen and its antimicrobial susceptibility pattern, the drug can be switched to a more effective one. Elderly people (over 65 years of age) are recommended for annual influenza vaccination for prevention purposes.

Keywords: 
infectious diseases
community-acquired pneumonia
additional therapy
guidelines
pneumococcus
care
vaccines
elderly people
diagnosis
treatment



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