Pneumonia and hospitalizations in the elderly

  • Francesco Cacciatore | francesco.cacciatore@fsm.it Cardiac Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN); Unit of Cardiosurgery and Transplantation, Monaldi Hospital, Napoli, Italy.
  • Carlo Gaudiosi Pneumological Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN), Italy.
  • Francesca Mazzella Emergency Department, Cardarelli Hospital, Napoli, Italy.
  • Anna Scognamiglio Cardiac Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN), Italy.
  • Irene Mattucci Unit of Cardiosurgery and Transplantation, Monaldi Hospital, Napoli, Italy.
  • Mauro Carone Pneumological Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN), Italy.
  • Nicola Ferrara Department of Translational Medical Sciences, Federico II University, Napoli, Italy.
  • Pasquale Abete Department of Translational Medical Sciences, Federico II University, Napoli, Italy.

Abstract

Pneumonia in the elderly is a common and severe problem. In this review we analyze the state of the art for pneumonia in the elderly. Several aspects are discussed: i) how common is the disease; signs and symptoms in the elderly; ii) the elderly must always be hospitalized and which is the best place - Intensive Care Unit or medical ward?; iii) the role of comorbidities; iv) etiology and pathogenesis; medical treatment - when and how to start; v) antibiotic resistance; vi) antibiotics in hospital acquired and ventilator related pneumonia; vii) assisted non-invasive ventilation; viii) the treatment in the terminally ill elderly patient.

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Author Biographies

Francesco Cacciatore, Cardiac Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN); Unit of Cardiosurgery and Transplantation, Monaldi Hospital, Napoli
Cardiac Rehabilitation - Fondazione salvatore Maugeri - IRCCS - Institute of Telese, UOSD – Cardiochirurgia dei Trapianti – Ospedale Monaldi – Napoli
Carlo Gaudiosi, Pneumological Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN)
Pneumological Rehabilitation
Francesca Mazzella, Emergency Department, Cardarelli Hospital, Napoli
Emergency Department
Anna Scognamiglio, Cardiac Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN)
Cardiac Rehabilitation
Irene Mattucci, Unit of Cardiosurgery and Transplantation, Monaldi Hospital, Napoli
UOSD – Cardiochirurgia dei Trapianti
Mauro Carone, Pneumological Rehabilitation, Maugeri Foundation, Institute of Rehabilitation of Telese Terme (BN)
Fondazione salvatore Maugeri - IRCCS - Institute of Telese
Nicola Ferrara, Department of Translational Medical Sciences, Federico II University, Napoli
Department of Translational Medical Sciences
Pasquale Abete, Department of Translational Medical Sciences, Federico II University, Napoli
Department of Translational Medical Sciences
Published
2017-05-17
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Section
Reviews
Keywords:
Pneumonia, elderly, hospitalization.
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How to Cite
Cacciatore, F., Gaudiosi, C., Mazzella, F., Scognamiglio, A., Mattucci, I., Carone, M., Ferrara, N., & Abete, P. (2017). Pneumonia and hospitalizations in the elderly. Geriatric Care, 3(1). https://doi.org/10.4081/gc.2017.6377