Liang Stephen Y
Division of Emergency Medicine, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8072, St Louis, MO 63110, USA; Division of Infectious Diseases, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8051, St Louis, MO 63110, USA.
Emerg Med Clin North Am. 2016 Aug;34(3):501-22. doi: 10.1016/j.emc.2016.04.005.
Waning immunity and declining anatomic and physiologic defenses render the elder vulnerable to a wide range of infectious diseases. Clinical presentations are often atypical and muted, favoring global changes in mental status and function over febrile responses or localizing symptoms. This review encompasses early recognition, evaluation, and appropriate management of these common infections specifically in the context of elders presenting to the emergency department. With enhanced understanding and appreciation of the unique aspects of infections in the elderly, emergency physicians can play an integral part in reducing the morbidity and mortality associated with these often debilitating and life-threatening diseases.
免疫力下降以及解剖学和生理学防御功能衰退，使老年人易患多种传染病。临床表现往往不典型且不明显，相较于发热反应或局部症状，更倾向于精神状态和功能的全面变化。本综述涵盖了对这些常见感染的早期识别、评估和适当管理，特别是针对到急诊科就诊的老年人。通过加深对老年人感染独特方面的理解和认识，急诊医生在降低与这些往往使人虚弱且危及生命的疾病相关的发病率和死亡率方面可以发挥不可或缺的作用。
