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Infections in the Elderly (Paperback, Softcover reprint of the original 1st ed. 1986)
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Infections in the Elderly (Paperback, Softcover reprint of the original 1st ed. 1986)
Series: Modern Geriatrics Series, 1
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Public health and antiseptic measures, vaccination and antibiotics,
have all contributed to the reduction in the incidence and impact
of diseases due to infections in younger age groups. Unfortunately,
however, infections remain a very important cause of both morbidity
and mortality in the elderly. The reasons for the continued effect
of infection on the older person are multifactorial. Firstly, the
immune response alters with age and may result in opportunistic
infections. Secondly, while the diagnosis and management of some
infections in the elderly can present little problem, altered signs
and symptoms in other older patients, especially the old elderly,
can cause considerable diagnostic difficulties with resulting
delays in definitive treat ment. Thirdly, a degree of complacency
can develop because some infec tions are seldom seen and,
consequently, may not be considered in the differential diagnosis.
The presence of other, more common, diseases serve only to distract
attention and confuse the diagnosis. Since the number of elderly
people is increasing, the need for continued high standard of skill
in diagnosis and management is emphasized. These factors are
considered in this book by contributors who are experi enced in
their fields. The altered immune response with age, the appropriate
use of antibiotics in older people and the latest developments of
therapy are reviewed. Infections in various body systems are
considered, with emphasis on differing presentations and diagnostic
difficulties, ways of improving diagnostic skills as well as
management and treatment."
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