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2018, Cilt 48, Sayı 2, Sayfa(lar) 112-116
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Retrospective Evaluation of Infections in Geriatric Patients
Türkan TÜZÜN1, Murat KUTLU2, Selda SAYIN KUTLU2, Mehmet UÇAR3, Kevser ÖZDEMİR2, Hüseyin TURGUT2
1Özel Denizli Cerrahi Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Bölümü, Denizli
2Pamukkale Üniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Denizli
3Medikal Park Uşak Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji, Uşak
Keywords: Elderly, fever, infection, C-reactive protein, leukocyte

Objective: Infectious diseases may course with different symptoms in geriatric patients compared with younger adults and delays in the diagnosis and treatment may be experienced. In this study, it was aimed to evaluate the infectious diseases in elderly patients who were followed up in our clinic.

Material and Methods: The data of patients aged ≥ 65 years who were hospitalized in the Infectious Diseases and Clinical Microbiology Clinic were evaluated retrospectively. Demographic characteristics, underlying diseases, length of their hospital stay, laboratory findings, culture results and diagnoses were recorded.

Results: Ninety-six patients aged ≥ 65 years were included in the study. Mean age of the patients was 76.5±7 (range 65-98) years. The underlying diseases were hypertension (23.5%), diabetes mellitus (21%), chronic renal failure (11%), chronic obstructive respiratory disease (10%) and malignancy (9.2%). The most frequent cause of hospital admission was urinary tract infection (53.5%), followed by soft tissue infection (18.8%), pneumonia (8%) and acute gastroenteritis (5%). The median length of hospital stay was 8.5 (interquartile ranges [IQR]: 6-12.8) days. Febrile episodes were detected in 73% of the patients. Mean sedimentation rate was 62±33.3 mm/h. Median leukocyte count and C-reactive protein (CRP: <0.5 mg/dL) levels were 10.725/ mm3 (IQR: 6.413-14.663), and 7.5 mg/dL (IQR: 2.23-14.28), respectively. There was no significant difference between fever, leukocytosis and CRP elevation in febrile patients (p>0.05). There was no significant difference between urinary system, soft tissue infections, pneumonia, acute gastroenteritis, and other infections as for fever, leukocytosis and CRP elevation (p>0.05). Thirty-one of the 38 (81.6%) culture samples obtained from the patients were urine specimens. The most commonly isolated bacteria were Escherichia coli (92.8%) in the urine specimens.

Conclusion: In conclusion, the increase in the elderly population and the underlying diseases with age will cause problems in terms of infectious diseases. It should be kept in mind that the classical signs and symptoms of infections will not be seen in this age group.


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