infections in the elderly Flashcards

1
Q

what is the MC COD in pt >65

A

infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

main cellular feature w/ age

A

dec T cell response and dec T cell-macrophage response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is absent in about 50% of elderly infections

A

fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

why do elderly pts present w/o fever

A

low T cells causes low IL2 which means inflammation is not activated, which causes fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What phase of liver metabolism is affected by age

A

Phase I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is needed to institute long term abx therapy in elderly: UTI w/ and w/o catheter

A

Fever And (no catheter) / Or (catheter) 1 UTI symptom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is needed to institute long term abx therapy in elderly w/ skin/soft tissue infection

A

fever OR 1 skin inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is needed to institute long term abx therapy in elderly w/ respiratory infection ( fever, afebrile and COPD, afebrile w/o COPD)

A

fever: >102 fever AND RR>25/cough
afebrile and COPD: tx w/ new or worsened cough
afebrile w/o COPD: tx w/ new or worsened cough AND > 25RR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is needed to institute long term abx therapy in elderly w/ fever w/ out source of infection

A

new onset delirium and rigors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the strongest predictor of mortality in elderly

A

comorbidity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

MC community acquired Pneumonia in elderly

A

pneumococcus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

MC long-term facility acquired Pneumonia in elderly

A

Polymicrobe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

MC Hospital acquired Pneumonia in elderly

A

G - rod

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how do you prevent pneumonia in elderly

A

immunization, dec smoking, dec comorbidity, infection control in nursing home

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

MC cause of UTI in elderly

A

G - rod

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

if asymptomatic bacteruria what do you treat w/

A

you do not treat

17
Q

what is the MC cause of TB in elderly

A

reactivation

18
Q

what causes infective endocarditis in elderly

A

BEhAVe: bovis, enterococcus, aureus/albicans, viridans

19
Q

MCC of septic arthritis

A

S. aureus

20
Q

MCC of osteomyelitis

A

S. aureus

21
Q

MCC of bacterial meningitis

A

pneumococcus

22
Q

What is the most treatable infectious cause of dementia

A

HIV/AIDS

23
Q

what increases your risk of shingles

A

age

24
Q

temperature of >101 for 3 wks

A

fever of unknown origin

25
Q

pt w/ stroke/dimentia + CSF VDRL test

A

neurosyphilis

26
Q

what are the causes of Bells palsy

A

HSV, VZV, lyme dz