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Bacteraemia in a geriatric unit.

A C Windsor

    Gerontology
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    This study found a 24% mortality rate in elderly patients with bacteraemia (bacteria in the blood). Hospital-acquired infections significantly increased mortality risk, with few survivors.

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    Area of Science:

    • Geriatric Medicine
    • Infectious Diseases
    • Internal Medicine

    Background:

    • Bacteraemia (bacteria in the blood) poses a significant threat to elderly patients.
    • Understanding treatment outcomes and common sources is crucial for improving geriatric care.

    Purpose of the Study:

    • To analyze the clinical outcomes and characteristics of bacteraemia in a geriatric population.
    • To identify common presenting symptoms and infection sources in elderly patients with bacteraemia.

    Main Methods:

    • Retrospective analysis of 50 consecutive bacteraemia cases in a geriatric unit.
    • Review of patient data including mortality, infection source, and presenting symptoms.

    Main Results:

    • Overall mortality rate was 24%.

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  • Hospital-acquired bacteraemia had a high mortality rate (1 death out of 7 cases).
  • Common presenting symptoms included pyrexia, acute confusion, and falls. Genito-urinary (24%) and lung (22%) infections were the most frequent sources, with 20% unidentified.

    • Conclusions:

    • Bacteraemia in the elderly is associated with substantial mortality, particularly when hospital-acquired.
    • Prompt identification of symptoms like fever, confusion, and falls is vital for early diagnosis.
    • Targeting common sources like the genito-urinary and respiratory tracts is important for effective management.