Title |
Inappropriate Use of Antimicrobials for Lower Respiratory Tract Infections in Elderly Patients: Patient- and Community-Related Implications and Possible Interventions
|
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Published in |
Drugs & Aging, April 2018
|
DOI | 10.1007/s40266-018-0541-7 |
Pubmed ID | |
Authors |
Inger van Heijl, Valentijn A. Schweitzer, Lufang Zhang, Paul D. van der Linden, Cornelis H. van Werkhoven, Douwe F. Postma |
Abstract |
The elderly are more susceptible to infections, which is reflected in the incidence and mortality of lower respiratory tract infections (LRTIs) increasing with age. Several aspects of antimicrobial use for LRTIs in elderly patients should be considered to determine appropriateness. We discuss possible differences in microbial etiology between elderly and younger adults, definitions of inappropriate antimicrobial use for LRTIs currently found in the literature, along with their results, and the possible negative impact of antimicrobial therapy at both an individual and community level. Finally, we propose that both antimicrobial stewardship interventions and novel rapid diagnostic techniques may optimize antimicrobial use in elderly patients with LRTIs. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 4 | 24% |
United States | 3 | 18% |
Australia | 1 | 6% |
Canada | 1 | 6% |
Unknown | 8 | 47% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 11 | 65% |
Scientists | 3 | 18% |
Practitioners (doctors, other healthcare professionals) | 3 | 18% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 49 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 7 | 14% |
Student > Ph. D. Student | 5 | 10% |
Student > Bachelor | 5 | 10% |
Other | 4 | 8% |
Researcher | 4 | 8% |
Other | 9 | 18% |
Unknown | 15 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 15 | 31% |
Pharmacology, Toxicology and Pharmaceutical Science | 6 | 12% |
Nursing and Health Professions | 2 | 4% |
Unspecified | 1 | 2% |
Biochemistry, Genetics and Molecular Biology | 1 | 2% |
Other | 6 | 12% |
Unknown | 18 | 37% |