Brown R B
Infectious Disease Division, Baystate Medical Center, Springfield, MA.
Geriatrics. 1988 Dec;43(12):43-6, 49.
The elderly represent an increasing percentage of the population, and an important group of users of intravenous antibiotics. Therapy at home can provide a cost-effective means of treating many infectious diseases. Special problems to be anticipated include those related to reimbursement, possibility of adverse drug interactions, non-compliance, and need for venous access. Choice of antimicrobial agent is dependent upon ease of administration, safety, efficacy, and cost. Careful patient selection, availability of appropriate home health care services, and diligent physician follow-up can allow many elderly patients to receive long-term intravenous antibiotic therapy outside the hospital.
老年人在人口中的占比日益增加，且是静脉用抗生素的重要使用群体。在家治疗可为许多传染病提供一种经济高效的治疗方式。需要预见到的特殊问题包括与报销、药物不良相互作用的可能性、不依从性以及静脉通路需求相关的问题。抗菌药物的选择取决于给药便利性、安全性、疗效和成本。仔细筛选患者、提供合适的家庭医疗服务以及医生的密切随访可使许多老年患者在院外接受长期静脉抗生素治疗。
