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Pneumonia and hospitalizations in the elderly

Francesco Cacciatore, Carlo Gaudiosi, Francesca Mazzella, Anna Scognamiglio, Irene Mattucci, Mauro Carone, Nicola Ferrara, Pasquale Abete
  • Francesco Cacciatore
    Cardiac Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN); Unit of Cardiosurgery and Transplantation, Monaldi Hospital, Napoli, Italy | francesco.cacciatore@fsm.it
  • Carlo Gaudiosi
    Pneumological Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN), Italy
  • Francesca Mazzella
    Emergency Department, Cardarelli Hospital, Napoli, Italy
  • Anna Scognamiglio
    Cardiac Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN), Italy
  • Irene Mattucci
    Unit of Cardiosurgery and Transplantation, Monaldi Hospital, Napoli, Italy
  • Mauro Carone
    Pneumological Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN), Italy
  • Nicola Ferrara
    Department of Translational Medical Sciences, Federico II University, Napoli, Italy
  • Pasquale Abete
    Department of Translational Medical Sciences, Federico II University, Napoli, Italy

Abstract

Pneumonia in the elderly is a common and severe problem. In this review we analyze the state of the art for pneumonia in the elderly. Several aspects are discussed: i) how common is the disease; signs and symptoms in the elderly; ii) the elderly must always be hospitalized and which is the best place - Intensive Care Unit or medical ward?; iii) the role of comorbidities; iv) etiology and pathogenesis; medical treatment - when and how to start; v) antibiotic resistance; vi) antibiotics in hospital acquired and ventilator related pneumonia; vii) assisted non-invasive ventilation; viii) the treatment in the terminally ill elderly patient.

Keywords

Pneumonia; elderly; hospitalization.

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Submitted: 2016-11-08 23:19:23
Published: 2017-05-17 11:15:51
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Copyright (c) 2017 Francesco Cacciatore, Carlo Gaudiosi, Francesca Mazzella, Anna Scognamiglio, Irene Mattucci, Mauro Carone, Nicola Ferrara, Pasquale Abete

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