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The initial inflammatory response of infection which normally produces symptoms and signs of sepsis are blunted or may be absent in the elderly, while later presentation may be very severe with very rapid progression to septic shock [13, 21, 26].
- Challenges with Diagnosing and Managing Sepsis in Older Adults
Sepsis in older adults has many challenges that affect rate...
- Challenges with Diagnosing and Managing Sepsis in Older Adults
Sepsis in older adults has many challenges that affect rate of septic diagnosis, treatment, and monitoring parameters. Numerous age-related changes and comorbidities contribute to increased risk of infections in older adults, but also atypical symptomatology that delays diagnosis.
14 Ιουλ 2023 · In this article, we outline a holistic approach to the management of sepsis in older adults that promotes individualised patient management, taking into account frailty, comorbidities, patient values, and the limited applicability of available evidence and guidelines.
10 Ιαν 2024 · Managing sepsis in older patients poses greater challenges and necessitates a comprehensive understanding of predisposing factors and a heightened suspicion for diagnosing infections and assessing the risk of sudden deterioration into sepsis.
25 Φεβ 2023 · The most common causes of sepsis in older as well as in younger patients are pneumonia in about a half and urinary tract infections (UTI) in a quarter of patients . Diagnostic difficulties due to an atypical or aspecific presentation are common in geriatrics and go beyond the scope of infection (e.g. frequent absence of chest pain in myocardial ...
The most common infectious sources of sepsis in older adults are respiratory tract infections and genitourinary tract infections. 3,9 Less common causes include skin and soft tissue infections and gastrointestinal infections, with the latter being associated with the highest mortality in older adults. 38.
1 Μαρ 2005 · sepsis, severe. older adult. evidence-based practice. Issue Section: Aging and Infectious Diseases > Invited Article. Each year, ∼750,000 patients in the United States develop severe sepsis [1], which was defined in recent clinical practice guidelines as “infection-induced organ dysfunction or hypoperfusion abnormalities” [2, p. 859].
