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Flashcards in infections in the elderly Deck (26):
1

what is the MC COD in pt >65

infection

2

main cellular feature w/ age

dec T cell response and dec T cell-macrophage response

3

what is absent in about 50% of elderly infections

fever

4

why do elderly pts present w/o fever

low T cells causes low IL2 which means inflammation is not activated, which causes fever

5

What phase of liver metabolism is affected by age

Phase I

6

what is needed to institute long term abx therapy in elderly: UTI w/ and w/o catheter

Fever And (no catheter) / Or (catheter) 1 UTI symptom

7

what is needed to institute long term abx therapy in elderly w/ skin/soft tissue infection

fever OR 1 skin inflammation

8

what is needed to institute long term abx therapy in elderly w/ respiratory infection ( fever, afebrile and COPD, afebrile w/o COPD)

fever: >102 fever AND RR>25/cough
afebrile and COPD: tx w/ new or worsened cough
afebrile w/o COPD: tx w/ new or worsened cough AND > 25RR

9

what is needed to institute long term abx therapy in elderly w/ fever w/ out source of infection

new onset delirium and rigors

10

what is the strongest predictor of mortality in elderly

comorbidity

11

MC community acquired Pneumonia in elderly

pneumococcus

12

MC long-term facility acquired Pneumonia in elderly

Polymicrobe

13

MC Hospital acquired Pneumonia in elderly

G - rod

14

how do you prevent pneumonia in elderly

immunization, dec smoking, dec comorbidity, infection control in nursing home

15

MC cause of UTI in elderly

G - rod

16

if asymptomatic bacteruria what do you treat w/

you do not treat

17

what is the MC cause of TB in elderly

reactivation

18

what causes infective endocarditis in elderly

BEhAVe: bovis, enterococcus, aureus/albicans, viridans

19

MCC of septic arthritis

S. aureus

20

MCC of osteomyelitis

S. aureus

21

MCC of bacterial meningitis

pneumococcus

22

What is the most treatable infectious cause of dementia

HIV/AIDS

23

what increases your risk of shingles

age

24

temperature of >101 for 3 wks

fever of unknown origin

25

pt w/ stroke/dimentia + CSF VDRL test

neurosyphilis

26

what are the causes of Bells palsy

HSV, VZV, lyme dz