Presentation, etiology and outcome of pneumonia in younger nursing home residents

The Journal of Infection
Benjamin KlapdorCAPNETZ study group

Abstract

Nursing home-acquired pneumonia characteristically affects elderly patients with multiple comorbidities; it is associated with multidrug-resistant (MDR) pathogens and a high mortality. We studied the specific impact of age on the presentation, etiology and outcome of patients with NHAP. Data from the prospective multicenter CAPNETZ database were used for a comparison of the hospitalized younger nursing home residents with pneumonia to those aged ≥ 65 years as regards clinical presentation, comorbidity, severity at presentation, etiology, and outcome. Amongst 618 patients with NHAP, 16% of patients (n = 100) were aged; 65 years. Comorbidity was present in most patients with NHAP but the pattern of comorbidity differed significantly. The rate of potential MDR pathogens was low among both age groups (together around 5%). According to the CRB-65 score, NHAP presentation was less severe in the younger patients. Short- and long-term mortality was twice as low in the younger patients with rates of 12.9% vs 26.6%, and 24.3% vs 43.8%, p = 0.014 and 0.002), respectively. In contrast, the usage of mechanical ventilation was more than two-fold higher (12% vs 5%) (p = 0.008) in younger patients. Antimicrobial treatment strategies did not ac...Continue Reading

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References

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Citations

Feb 3, 2016·The Korean Journal of Internal Medicine·Che Wan LimJoo-Won Min
Mar 18, 2016·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Norbert SuttorpUNKNOWN CAPNETZ-Studiengruppe
Mar 31, 2015·BioMed Research International·Naveen DhawanVineet Gupta
Sep 29, 2018·The Cochrane Database of Systematic Reviews·Chang LiuChunjie Li
Jun 18, 2019·American Journal of Respiratory and Critical Care Medicine·Elizabeth SapeyDavid R Thickett

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