Bacterial aetiology and antimicrobial resistance of community-acquired pneumonia in the elderly and younger adults

2010 ◽  
Vol 40 (2) ◽  
pp. 89-91 ◽  
Author(s):  
Seyyed Hamid Hashemi ◽  
Golnoosh Soozanchi ◽  
Shirin Jamal-Omidi ◽  
Rasoul Yousefi-Mashouf ◽  
Mojgan Mamani ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
General Trend ◽  
The Elderly ◽  
Community Acquired Pneumonia ◽  
Resistance Pattern ◽  
Age Group ◽  
Younger Adults ◽  
Streptococcus Pneumonia ◽  
Bacterial Aetiology ◽  
And Staphylococcus Aureus

This study was undertaken in order to compare the frequency of bacterial agents of community-acquired pneumonia (CAP) and their antimicrobial resistance in the elderly and younger adults admitted to a teaching hospital in Hamedan, Iran. A total of 150 cases of CAP, including 81 elderly and 69 younger adults, were evaluated. The most frequently identified pathogens in younger adults were Moraxella catarralis (11.5%), Streptococcus pneumonia (10.1%) and Staphylococcus aureus (10.1%); while in the elderly the most frequent were S. pneumonia (12.3%), S. aureus (6.1%) and Pseudomonas aeruginosa (6.1%). No significant differences were observed between the frequency and antimicrobial resistance pattern of isolated pathogens in either age group. We concluded that the cause of CAP in the elderly follows the general trend of infection in the younger population. Increased resistance of isolated bacteria to the current antibiotics highlights the need for further investigation of newer antibiotics for the treatment of CAP.

scholarly journals Paradigm Shift in Antimicrobial Resistance Pattern of Bacterial Isolates during the COVID-19 Pandemic

Antibiotics ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. 954
Author(s):  
Vikas Saini ◽  
Charu Jain ◽  
Narendra Pal Singh ◽  
Ahmad Alsulimani ◽  
Chhavi Gupta ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antimicrobial Resistance ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Resistance Pattern ◽  
Coagulase Negative Staphylococcus ◽  
Care Hospital ◽  
Bacterial Isolates ◽  
Hospital Infection Control ◽  
And Staphylococcus Aureus

Antimicrobial resistance (AMR) is an emerging public health problem in modern times and the current COVID-19 pandemic has further exaggerated this problem. Due to bacterial co-infection in COVID-19 cases, an irrational consumption of antibiotics has occurred during the pandemic. This study aimed to observe the COVID-19 patients hospitalized from 1 March 2019 to 31 December 2020 and to evaluate the AMR pattern of bacterial agents isolated. This was a single-center study comprising 494 bacterial isolates (blood and urine) that were obtained from patients with SARS-CoV-2 admitted to the ICU and investigated in the Department of Microbiology of a tertiary care hospital in Delhi, India. Out of the total bacterial isolates, 55.46% were gram negative and 44.53% were gram positive pathogens. Of the blood samples processed, the most common isolates were CoNS (Coagulase Negative Staphylococcus) and Staphylococcus aureus. Amongst the urinary isolates, most common pathogens were Escherichia coli and Staphylococcus aureus. A total of 60% MRSA was observed in urine and blood isolates. Up to 40% increase in AMR was observed amongst these isolates obtained during COVID-19 period compared to pre-COVID-19 times. The overuse of antibiotics gave abundant opportunity for the bacterial pathogens to gradually develop mechanisms and to acquire resistance. Since the dynamics of SARS-COV-2 are unpredictable, a compromise on hospital antibiotic policy may ultimately escalate the burden of drug resistant pathogens in hospitals. A shortage of trained staff during COVID-19 pandemic renders it impossible to maintain these records in places where the entire hospital staff is struggling to save lives. This study highlights the extensive rise in the use of antibiotics for respiratory illness due to COVID-19 compared to antibiotic use prior to COVID-19 in ICUs. The regular prescription audit followed by a constant surveillance of hospital infection control practices by the dedicated teams and training of clinicians can improve the quality of medications in the long run and help to fight the menace of AMR.

scholarly journals Community-Acquired Pneumonia in Children-An Update

2018 ◽  
Vol 42 (1) ◽  
pp. 38-42
Author(s):  
Md Kamruzzaman ◽  
Mirza Md Ziaul Islam ◽  
Probir Kumar Sarkar
Keyword(s):  
Antimicrobial Resistance ◽  
Signs And Symptoms ◽  
Community Acquired Pneumonia ◽  
Oral Antibiotics ◽  
Older Children ◽  
Streptococcus Pneumonia ◽  
Serious Infection ◽  
Severe Infections ◽  
Viral Testing ◽  
Respiratory Signs And Symptoms

Community-acquired pneumonia (CAP) is a potentially serious infection in children and often results in hospitalization.CAP symptoms are nonspecific in younger infants, but cough and tachypnea are usually present in older children. The diagnosis can be based on the history and physical examination results in children with fever plus respiratory signs and symptoms. Chest radiography and rapid viral testing may be helpful when the diagnosis is unclear. The most likely etiology depends on the age of the child. Viral and Streptococcus pneumonia infections are most common in preschoolaged children, whereas Mycoplasmapneumoniaeis common in older children.Most children can be managed empirically with oral antibiotics as outpatients without specific laboratory investigations.The decision to treat with antibiotics is challenging, especially with the increasing prevalence of viral and bacterial coinfections. Those with severe infections or with persistent or worsening symptoms need more intensive investigations and may need admission to hospital. The choice and dosage of antibiotics should be based on the age of the patient, severity of the pneumonia and knowledge of local antimicrobial resistance patterns.Bangladesh J Child Health 2018; VOL 42 (1) :38-42

scholarly journals A Study of Community-Acquired Pneumonias in Elderly Individuals in Bijapur, India

2012 ◽  
Vol 2012 ◽  
pp. 1-10
Author(s):  
Bilal Bin Abdullah ◽  
Mohammed Zoheb ◽  
Syed Mustafa Ashraf ◽  
Sharafath Ali ◽  
Nida Nausheen
Keyword(s):  
Elderly Patients ◽  
Clinical Presentation ◽  
Empirical Therapy ◽  
The Elderly ◽  
Community Acquired Pneumonia ◽  
Klebsiella Pneumonia ◽  
Age Group ◽  
Delay In Diagnosis ◽  
Altered Sensorium ◽  
Etiological Agents

Community-acquired pneumonia (CAP) in elderly has different clinical presentation and higher mortality than CAP in other age group. Clinical presentation may vary from mere presence of fever to altered sensorium. The incomplete clinical picture of CAP in the elderly may be associated with a delay in establishing the diagnosis and, consequently, in starting adequate antibiotic therapy. Delay in diagnosis and treatment may contribute to the higher observed death rate in the elderly population with CAP. Hence the following study was undertaken to study the clinical, radiological, and bacteriological profile of community-acquired pneumonia in elderly. A total of 50 patients were studied. Age group varied from 66 years to 88 years. Presentation varied from typical symptoms to altered sensorium. Smoking and COPD were most common predisposing conditions. Most common organisms responsible were Streptococcus pneumonia, Klebsiella pneumonia, Pseudomonas, H. influenza, and Staphylococcus aureus. Etiological agents could not be identified in many cases because of difficulty in collecting sputum in elderly patients, lower yield of culture, and various atypical and difficult to isolate causative organisms. Hence there is need for an empirical therapy covering both typical and atypical organisms. Better understanding of these aspects may help a long way in managing elderly patients with pneumonia.

A Cross-Sectional Study of the Perceived Stressfulness of Several Life Events

1980 ◽  
Vol 10 (4) ◽  
pp. 335-341 ◽  
Author(s):  
James D. Sands ◽  
John Parker
Keyword(s):  
Life Events ◽  
Stressful Life Events ◽  
Age Groups ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Group Differences ◽  
Age Group ◽  
Elderly Adults ◽  
Cross Sectional ◽  
Younger Adults

Adults from different age groups (18–24, 30–40, and 65–86) were tested to determine if they differ in their perception of certain stressful life events. Twenty adults from each age group were asked to rate a series of events according to their perceived relative stressfulness; included were events thought to be particularly salient for elderly adults. Amster and Krauss' list of events and Holmes and Rahe's procedure for quantifying stress were used. Group differences were not found for the elderly salient events; however it was found that elderly adults perceive death-related events as less stressful than do younger adults.

Community acquired pneumonia-current scenario among immunocompromised patients in a tertiary care hospital

2016 ◽  
Vol 5 (01) ◽  
pp. 4715
Author(s):  
A. V. Sowmya* ◽  
G. Jayalakshmi ◽  
David Agatha
Keyword(s):  
Diabetes Mellitus ◽  
Antimicrobial Therapy ◽  
Tertiary Care ◽  
Community Acquired Pneumonia ◽  
Polymicrobial Infection ◽  
Resistance Pattern ◽  
Care Hospital ◽  
Immunocompromised Patients ◽  
Drug Resistant ◽  
Etiologic Agents

Pneumonia is a common illness accounting for majority of hospitalizations worldwide with significant mortality and morbidity. Antimicrobial therapy, being the main stay of treatment, the choices of antibiotics depends on the nature of the etiologic agents and the host factors. The current study was aimed to identify the bacterial & fungal etiologic agents of Community Acquired Pneumonia (CAP) in Immunocompromised (IC) patients, with their antimicrobial resistant pattern and to analyze the associated immunocompromised states. Various respiratory samples from study group of 75 immunocompromised patients with features of pneumonia were collected, processed and the isolates were identified with their antimicrobial susceptibility& resistance pattern according to CLSI guidelines. The results were analyzed statistically. Diabetes mellitus is the most common immunocompromised state (48%) associated with CAP. Monomicrobial and polymicrobial infection rates were 80.36% and 19.64% respectively. Gram negative pathogens and fungal pathogens were identified in 60% and 25.37% of culture positive cases respectively. Diabetes mellitus is commonly found in association with polymicrobial infection (19.44%) and fungal infection (16.66%). Drug resistant strains comprise about 75% of MRSA strains, 72.72 % of ESBL producers and 3.44% of Amp C producers. As the number of elderly people with associated IC state is on rise, with change in the pattern of microbial etiologic agents causing CAP, a prior knowledge of the host and microbial factors will help in formulating empirical antimicrobial therapy and proper treatment thereby curbing the spread of infections by drug resistant pathogens and the associated morbidity and mortality.

France

2018 ◽  
Author(s):  
Philippe Askenazy ◽  
Bruno Palier
Keyword(s):  
Income Inequality ◽  
Labour Market ◽  
Rapid Growth ◽  
Household Income ◽  
General Trend ◽  
Age Groups ◽  
Wage Growth ◽  
The Elderly ◽  
Wage Setting ◽  
Rich Countries

This chapter describes France as apparently one of the few rich countries to have avoided a significant increase in income inequality in recent decades. However, stable average inequalities mask an asymmetric trend of income between age groups, the elderly improving their situation while the young see theirs worsening. Furthermore, it shows that behind this relatively still surface, a general trend of precarization of more and more ordinary workers is occurring. The importance of wage-setting processes and of regulation of the labour market is brought out, together with the way the tax and transfer systems have operated, in restraining the forces driving inequality upwards. Wage growth, while limited, has thus been reasonably uniform across the distribution and together with the redistributive system have kept household income inequality within bounds. However, in response to high unemployment both regulatory and tax–transfer systems have served to underpin the very rapid growth in precarious working over the last decade, representing a very serious challenge for policy.

Sign in / Sign up

Export Citation Format

Share Document