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Med. Sci. 2018, 6(2), 35; https://doi.org/10.3390/medsci6020035

Characteristics and Management of Community-Acquired Pneumonia in the Era of Global Aging

1
Department of Pneumology, Institut Clinic del Tórax, Hospital Clinic of Barcelona—Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona—SGR 911—Ciber de Enfermedades Respiratorias (Ciberes), 08036 Barcelona, Spain
2
Department of Medicine, Full Professor School of Medicine, Universidad Peruana Cayetano Heredia, “Hospital Nacional Arzobispo Loayza”, Lima 15082, Perú
*
Author to whom correspondence should be addressed.
Received: 20 March 2018 / Revised: 25 April 2018 / Accepted: 26 April 2018 / Published: 30 April 2018
(This article belongs to the Section Pneumology and Respiratory Diseases)
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Abstract

Community-acquired pneumonia (CAP) can occur at any time of life, but its incidence and risk of death are linked to increasing age. CAP in the elderly is a major health problem associated with high rates of readmission, morbidity, and mortality. Since the clinical presentation of pneumonia in the elderly may be atypical, clinicians should suspect pneumonia in older patients presenting symptoms such as falls and altered mental status, fatigue, lethargy, delirium, anorexia, in order to avoid the complications associated with delayed diagnosis and therapy. Streptococcus pneumoniae remains the most frequently reported pathogen in this population. However, particular attention should be paid to patients with risk factors for multidrug resistant pathogens, because a large proportion of elderly persons present multimorbidity. Vaccination is one of the most important preventive approaches for CAP in the elderly. In addition, lifestyle-tailored interventions for different modifiable risk factors will help to reduce the risk of pneumonia in elderly persons. Surveillance of etiological pathogens may improve vaccination policies in this population. View Full-Text
Keywords: community-acquired pneumonia; elderly; pneumonia; aging community-acquired pneumonia; elderly; pneumonia; aging
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Cillóniz, C.; Rodríguez-Hurtado, D.; Torres, A. Characteristics and Management of Community-Acquired Pneumonia in the Era of Global Aging. Med. Sci. 2018, 6, 35.

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