Special Section: Aging and Infection
نویسندگان
چکیده
Urinary tract infection is the most frequent bacterial infection in residents of long-term–care facilities. Most infections are asymptomatic, with a remarkable prevalence of asymptomatic bacteriuria of 15%–50% among all residents. The major reasons for this high prevalence are chronic comorbid illnesses with neurogenic bladder and interventions to manage incontinence. Prospective, randomized, comparative trials of therapy and no therapy for asymptomatic bacteriuria among nursing home residents have repeatedly documented that antimicrobial treatment had no benefits. However, there is substantial diagnostic uncertainty in determining whether an individual with a positive urine culture has symptomatic or asymptomatic infection when there is clinical deterioration and there are no localized findings. In the noncatheterized resident, urinary infection is an infrequent source of fever but may not be definitively excluded. The use of antimicrobials for treatment of urinary infection is part of the larger concern about appropriate antimicrobial use in long-term–care facilities and the impacts of the selective pressure of antimicrobials on colonization and infection with resistant organisms.
منابع مشابه
Introduction to the special section on intraindividual variability and aging.
This preface introduces articles that appear in the special section on intraindividual variability and aging and illustrate what intraindividual variability might contribute to the study of development. These articles exemplify the variety of conceptual perspectives, analytical methods, and types of data that are being used to study intraindividual variability and illustrate what the study of i...
متن کاملThe Effects of Recove Ointment on Wound Healing in Mothers Susceptible to Cesarean Section Infection
Background & aim: Due to the development of major complications after cesarean section (C-section), surgical site infection and delayed wound healing was of great concern to gynecologists since a long time ago. It is especially the case for mothers susceptible to post-cesarean wound infection who need special care. The present study therefore aimed to investigate the e...
متن کاملStatic Strain Aging Behavior of Low Carbon Steel Drawn Wire
The static strain aging is a phenomenon that can change the mechanical properties of low carbon steels. Thus, the static strain aging behavior of low carbon steel wires after drawing process is studied. To do so, the wires are austenitized at different temperatures and cooled in different rates. Then the wires are drawn and aged at a specific temperature and time. Before and after aging of each...
متن کاملIn this month’s Bulletin
In the editorial section, Anthony Costello et al. (406) announce WHO’s collaborative effort to define the syndrome associated with congenital Zika virus infection. Islene Araujo de Carvalho et al. (407) call for papers for a special issue on innovation for healthy ageing. Michel Sidibé (408) points to an opportunity to secure funding for the next stage of the response to the human immunodeficie...
متن کاملSpecial Section: Aging and Infectious Diseases
Infections in the elderly, similar to other acute illnesses in this age group, may present in atypical, nonclassical fashions. Fever, the cardinal sign of infection, may be absent or blunted 20%–30% of the time. An absent or blunted fever response may in turn contribute to diagnostic delays in this population, which is already at risk for increased morbidity and mortality due to infection. On t...
متن کامل