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Nursing Home Acquired Pneumonia

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Psychotropic Drug-Associated Pneumonia in Older Adults.

Blair Rajamaki, Sirpa Hartikainen, Anna-Maija Tolppanen,

The use of psychotropic drugs (antipsychotics, benzodiazepines and benzodiazepine-related drugs, and antidepressants) is common, with a prevalence estimates range of 19-29% among community dwelling older adults. These drugs are often prescribed for off-label use, including neuropsychiatric symptoms. The older adult population also has high rates of pneumonia and some of ... Read more >>

Drugs Aging (Drugs & aging)
[2020, 37(4):241-261]

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Nursing Home-Associated Pneumonia, Part II: Etiology and Treatment.

Joseph M Mylotte,

This is the second of 2 parts of a narrative review of nursing home-associated pneumonia (NHAP) that deals with etiology and treatment in the nursing home. In the 1980s and 1990s, the etiology of NHAP was considered to be similar to community-acquired pneumonia (CAP). This belief was reflected in CAP ... Read more >>

J Am Med Dir Assoc (Journal of the American Medical Directors Association)
[2020, 21(3):315-321]

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Assessing the Quality of Human Immunodeficiency Virus Care in Nursing Homes.

Brianne Olivieri-Mui, Jean McGuire, John Griffith, Sean Cahill, Becky Briesacher,

BACKGROUND:Quality of human immunodeficiency virus (HIV) care in nursing homes (NHs) has never been measured. DESIGN:A cross-sectional study. SETTING:NHs. PARTICIPANTS:A total of 203 NHs and 1375 persons living with HIV. MEASUREMENTS:Medicare claims from 2011 to 2013 were linked to assessments of resident health, prescription dispensing data, and national reports of ... Read more >>

J Am Geriatr Soc (Journal of the American Geriatrics Society)
[2020, :]

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CE: Acute Care for Patients with Dementia.

Mary C Zonsius, Fawn A Cothran, Joanne M Miller,

Among adults ages 65 and older, dementia doubles the risk of hospitalization. Roughly one in four hospitalized patients has dementia, and the prevalence of dementia in the United States is rising rapidly. Patients with dementia have significantly higher rates of hospital-acquired complications, including urinary tract infections, pressure injuries, pneumonia, and ... Read more >>

Am J Nurs (The American journal of nursing)
[2020, 120(4):34-42]

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Developing evidence-based guidance for assessment of suspected infections in care home residents.

Carmel Hughes, David R Ellard, Anne Campbell, Rachel Potter, Catherine Shaw, Evie Gardner, Ashley Agus, Dermot O'Reilly, Martin Underwood, Mark Loeb, Bob Stafford, Michael Tunney,

BACKGROUND:The aim of this study was to update and refine an algorithm, originally developed in Canada, to assist care home staff to manage residents with suspected infection in the United Kingdom care home setting. The infections of interest were urinary tract infections, respiratory tract infections and skin and soft tissue ... Read more >>

BMC Geriatr (BMC geriatrics)
[2020, 20(1):59]

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Tuberculosis deaths are predictable and preventable: Comprehensive assessment and clinical care is the key.

Anurag Bhargava, Madhavi Bhargava,

The goal of reducing tuberculosis (TB) mortality in the END TB Strategy can be achieved if TB deaths are considered predictable and preventable. This will require programs to examine and address some key gaps in the understanding of the distribution and determinants of TB mortality and the current model of ... Read more >>

J Clin Tuberc Other Mycobact Dis (Journal of clinical tuberculosis and other mycobacterial diseases)
[2020, 19:100155]

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The Use of Inappropriate Antibiotics in Patients Admitted to Intensive Care Units with Nursing Home-Acquired Pneumonia at a Korean Teaching Hospital.

Deok Hee Kim, Ha Jeong Kim, Hae Won Koo, Won Bae, So Hee Park, Hyeon Kyoung Koo, Hye Kyeong Park, Sung Soon Lee, Hyung Koo Kang,

BACKGROUND:Use of appropriate antibiotics for the treatment of pneumonia is integral in patients admitted to intensive care units (ICUs). Although it is recommended that empirical treatment regimens should be based on the local distribution of pathogens in patients with suspected hospital-acquired pneumonia, few studies observe patients admitted to ICUs with ... Read more >>

Tuberc Respir Dis (Seoul) (Tuberculosis and respiratory diseases)
[2020, 83(1):81-88]

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Clinical Presentation of Community-Acquired Legionella Pneumonia Identified by Universal Testing in an Endemic Area.

Shruti Puri, Monique Boudreaux-Kelly, Jon D Walker, Cornelius J Clancy, Brooke K Decker,

The rapid identification of Legionella pneumonia is essential to optimize patient treatment and outcomes, and to identify potential public health risks. Previous studies have identified clinical factors which are more common in Legionella than non-Legionella pneumonia, and scores have been developed to assist in diagnosing cases. Since a Legionella pneumonia ... Read more >>

Int J Environ Res Public Health (International journal of environmental research and public health)
[2020, 17(2):]

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Using point-of-care C-reactive protein to guide antibiotic prescribing for lower respiratory tract infections in elderly nursing home residents (UPCARE): study design of a cluster randomized controlled trial.

Tjarda M Boere, Laura W van Buul, Rogier M Hopstaken, Ruth B Veenhuizen, Maurits W van Tulder, Jochen W L Cals, Theo J M Verheij, Cees M P M Hertogh,

BACKGROUND:Antibiotics are over-prescribed for lower respiratory tract infections (LRTI) in nursing home residents due to diagnostic uncertainty. Inappropriate antibiotic use is undesirable both on patient level, considering their exposure to side effects and drug interactions, and on societal level, given the development of antibiotic resistance. C-reactive protein (CRP) point-of-care testing ... Read more >>

BMC Health Serv Res (BMC health services research)
[2020, 20(1):149]

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Assessment of swallowing function and muscle using ultrasonography in general and family medicine.

Hidetaka Wakabayashi,

J Gen Fam Med (Journal of General and Family Medicine)
[2020, 21(2):1-2]

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Media Reports as a Source for Monitoring Impact of Influenza on Hospital Care: Qualitative Content Analysis.

Daphne F M Reukers, Sierk D Marbus, Hella Smit, Peter Schneeberger, Gé Donker, Wim van der Hoek, Arianne B van Gageldonk-Lafeber,

BACKGROUND:The Netherlands, like most European countries, has a robust influenza surveillance system in primary care. However, there is a lack of real-time nationally representative data on hospital admissions for complications of influenza. Anecdotal information about hospital capacity problems during influenza epidemics can, therefore, not be substantiated. OBJECTIVE:The aim of this ... Read more >>

JMIR Public Health Surveill (JMIR public health and surveillance)
[2020, 6(1):e14627]

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An Altered Eating Experience: Attitudes Toward Feeding Assistance Among Younger and Older Adults.

Samantha E Shune,

PURPOSE:Feeding assistance is commonly used to alleviate mealtime difficulties and decrease risk. It is unclear how to best support the transition from independence to assisted feeding across the lifespan. The purpose of this exploratory study was to examine attitudes toward feeding assistance among healthy younger and older adults. DESIGN:Qualitative study. ... Read more >>

Rehabil Nurs (Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses)
[2020, 45(2):97-105]

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Are oral health education for carers effective in the oral hygiene management of elderly with dementia? A systematic review.

Nithin Manchery, Gireesh Kumar Subbiah, Nagappan Nagappan, Parvathy Premnath,

Elderly with dementia or cognitive impairment are at increased risk of poor oral health. Oral health education programs targeting carers may be an effective strategy to improve oral hygiene. The aim of this review was to assess the effectiveness of oral health education programs for carers on the oral hygiene ... Read more >>

Dent Res J (Isfahan) (Dental research journal)
[2020, 17(1):1-9]

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Risk factors for pneumonia and influenza hospitalizations in long-term care facility residents: a retrospective cohort study.

Patience Moyo, Andrew R Zullo, Kevin W McConeghy, Elliott Bosco, Robertus van Aalst, Ayman Chit, Stefan Gravenstein,

BACKGROUND:Older adults who reside in long-term care facilities (LTCFs) are at particularly high risk for infection, morbidity and mortality from pneumonia and influenza (P&I) compared to individuals of younger age and those living outside institutional settings. The risk factors for P&I hospitalizations that are specific to LTCFs remain poorly understood. ... Read more >>

BMC Geriatr (BMC geriatrics)
[2020, 20(1):47]

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READMISSION FOR HEALTHCARE-ACQUIRED INFECTIONS: DOES PATIENT DISPOSITION MATTER?

Geoffrey J Hoffman, Lillian Min, Haiyin J Liu, Lona Mody,

AbstractBoth common and preventable, healthcare-acquired infections (HAI) are nevertheless associated with high risk for hospital readmission. However, whether these infection-related readmissions are more common among older adults discharged from the hospital to a nursing facility as opposed to home is unknown. We used 2013-14 HCUP data and multivariable logistic regression ... Read more >>

Innov Aging (Innovation in aging)
[2019, 3(Suppl 1):S822-S822]

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A Transesophageal Echocardiogram Finding: From Infection to Malignancy.

Omar Kousa, Janani Baskaran, Aiza Ahmad, Dana H Awad, Ahmed Aboeata,

Nonbacterial thrombotic endocarditis (NBTE) is illustrated by thrombi deposition on normal heart valves without the presence of bacteremia. It typically occurs in the setting of chronic debilitating diseases such as cancer or autoimmune disease. The pathogenesis involves an endothelial injury in the presence of a hypercoagulable state secondary to the ... Read more >>

Cureus (Cureus)
[2020, 12(2):e6886]

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Effectiveness and harms of high-flow nasal oxygen (HFNO) for acute respiratory failure: a systematic review protocol.

Arianne K Baldomero, Anne Melzer, Nancy Greer, Brittany N Majeski, Roderick Macdonald, Timothy J Wilt,

INTRODUCTION:High-flow nasal oxygen (HFNO) use in adults hospitalised with acute respiratory failure (ARF) is increasing. However, evidence to support widespread use of HFNO compared with non-invasive ventilation (NIV) and conventional oxygen therapy (COT) is unclear. This protocol describes the methods for a systematic evidence review regarding the comparative effectiveness and ... Read more >>

BMJ Open (BMJ open)
[2020, 10(2):e034956]

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Therapeutic iloprost for the treatment of acute respiratory distress syndrome (ARDS) (the ThIlo trial): a prospective, randomized, multicenter phase II study.

Helene Haeberle, Stefanie Prohaska, Peter Martus, Andreas Straub, Alexander Zarbock, Gernot Marx, Manola Zago, Martin Giera, Michael Koeppen, Peter Rosenberger,

BACKGROUND:Acute respiratory distress syndrome (ARDS) is caused by rapid-onset (within hours) acute inflammatory processes in lung tissue, and it is a life-threatening condition with high mortality. The treatment of ARDS to date is focused on the prevention of further iatrogenic damage of the lung rather than the treatment of the ... Read more >>

Trials (Trials)
[2020, 21(1):242]

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[18F]Flortaucipir distinguishes Alzheimer's disease from progressive supranuclear palsy pathology in a mixed-pathology case.

Ruben Smith, Daria Pawlik, Christer F Nilsson, Elisabet Englund, Oskar Hansson,

Acta Neuropathol. (Acta neuropathologica)
[2020, 139(2):411-413]

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The effects of promoting oral intake using the Kuchi-kara Taberu index, a comprehensive feeding assistant tool, in older pneumonia patients: a cluster randomized controlled trial.

Hiroshi Shamoto, Tamami Koyama, Ryo Momosaki, Keisuke Maeda, Hidetaka Wakabayashi,

BACKGROUND:The multidisciplinary comprehensive care (MDCC) program promotes the improvement of oral intake for older patients. The Kuchi-kara Taberu (ingesting orally in Japanese, KT) index was developed to objectively assess patient conditions in the MDCC program. This trial examined the effects of the index in promoting oral intake in older patients ... Read more >>

BMC Geriatr (BMC geriatrics)
[2020, 20(1):36]

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Effect of Candida albicans bronchial colonization on hospital-acquired bacterial pneumonia in patients with systemic lupus erythematosus.

Yuetian Yu, Jia Li, Suli Wang, Yuan Gao, Hui Shen, Liangjing Lu,

Background:To investigate the effect of Candida albicans airway colonization on hospital-acquired bacterial pneumonia (HABP) in patients with systemic lupus erythematosus (SLE). Methods:SLE patients with HAP were enrolled in this retrospective cohort study from January 2015 to December 2018. According to the culture results of respiratory tract secretions and antifungal treatment, ... Read more >>

Ann Transl Med (Annals of translational medicine)
[2019, 7(22):673]

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Impact of a Pharmacist-driven Methicillin-resistant Staphylococcus aureus Polymerase Chain Reaction Nasal Swab Protocol on the De-escalation of Empiric Vancomycin in Patients with Pneumonia in a Rural Healthcare Setting.

Precious Dadzie, Tyson Dietrich, John Ashurst,

Introduction Pneumonia caused by methicillin-resistant Staphylococcus aureus (MRSA) carries a high rate of morbidity and mortality. Many clinicians empirically treat those at risk of developing MRSA pneumonia with vancomycin. Several studies have identified a high negative predictive value of the MRSA polymerase chain reaction (PCR) nasal swab test in lower respiratory tract ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6378]

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Poor oral health and mortality in geriatric patients admitted to an acute hospital: an observational study.

Keisuke Maeda, Naoharu Mori,

BACKGROUND:Poor oral health at hospital admission is a potential higher mortality risk predictor. We aimed to determine in-hospital mortality by assessing poor oral health using a validated tool. METHODS:A retrospective observational study was conducted in an acute care hospital, and 624 consecutive geriatric patients were included. Patients were divided into ... Read more >>

BMC Geriatr (BMC geriatrics)
[2020, 20(1):26]

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Working Collaboratively: Outcomes of Geriatrician Input in Older Patients Undergoing Emergency Laparotomy in a District General Hospital.

Kashuf A Khan, Thejasvi Subramanian, Megan Richters, Ayesha Mubarik, Abdalla Saad Abdalla Al-Zawi, Christopher C Thorn, Susan Chalstrey, Savithri Gunasekera,

With the increasing median age of survival in the UK, there is an increased burden on the provision of medical and surgical care to the population. The 2010 National Confidential Enquiry into Patient Outcome and Death report, "An Age Old Problem," emphasizes the early involvement of surgical and geriatric consultant input ... Read more >>

Cureus (Cureus)
[2020, 12(2):e7069]

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[Community-acquired Pneumonia in the Elderly].

N Schöll, G G U Rohde,

Pneumonia belongs to the most frequent and most deadly infectious diseases worldwide. It represents an increasing problem for the aging population. The incidence and mortality rises with every decade. The clinical presentation of pneumonia differs between elderly and younger patients. Multiple factors including functional status (self-dependency and immobilization), comorbidities, immunosenescence, ... Read more >>

Pneumologie (Pneumologie (Stuttgart, Germany))
[2019, 73(10):605-616]

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