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老年人脓毒症。

Sepsis in Older Adults.

机构信息

General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, 750 North Lakeshore Drive, 10th Floor, Chicago, IL 60611, USA.

General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, 750 North Lakeshore Drive, 10th Floor, Chicago, IL 60611, USA.

出版信息

Infect Dis Clin North Am. 2017 Dec;31(4):731-742. doi: 10.1016/j.idc.2017.07.010.

Abstract

Sepsis disproportionally affects older adults with more than 60% of sepsis diagnoses attributed to adults aged 65 years and older. Identifying, diagnosing, and treating sepsis in older individuals remain a challenge for clinicians, and few studies focus specifically on older adults with multiple medical comorbidities. Principles guiding management of sepsis for older adults are generally the same as in younger adults; however, unique considerations particularly pertinent to the care older adults include antimicrobial selection and dosing, delirium management, and goals of care discussions. Other factors, such as medical comorbidities, cognitive impairment, and functional status, impact outcomes more than age alone.

摘要

败血症不成比例地影响老年人,超过 60%的败血症诊断归因于 65 岁及以上的成年人。对于临床医生来说,识别、诊断和治疗老年人败血症仍然是一个挑战,很少有研究专门针对患有多种合并症的老年人。指导老年人败血症管理的原则与年轻人基本相同;然而,特别与老年人护理相关的独特考虑因素包括抗菌药物的选择和剂量、谵妄管理以及护理目标的讨论。其他因素,如合并症、认知障碍和功能状态,对预后的影响比年龄本身更大。

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