Clinical conundrums in management of sepsis in the elderly.
Publication/Presentation Date
1-1-2015
Abstract
In 2012, surviving sepsis campaign came out with updated international guidelines for management of severe sepsis and septic shock. Paradoxically, there are no specific guidelines for management of sepsis in the elderly, although the elderly are more predisposed to sepsis, and morbidity and mortality related to sepsis. Sepsis in the elderly is, more often than not, complicated by clinical conundrums such as congestive heart failure (CHF), atrial fibrillation (AF), chronic kidney disease (CKD), acute kidney injury (AKI), delirium, dementia, ambulatory dysfunction, polypharmacy, malglycemia, nutritional deficiencies, and antibiotic resistance. Also, with recurrent admissions to the hospital and widespread use of antibiotics, the elderly are more susceptible to Clostridium difficile colitis.
Volume
3
Issue
3
First Page
106
Last Page
112
ISSN
2450-131X
Published In/Presented At
Sehgal, V., Bajwa, S. J., Consalvo, J. A., & Bajaj, A. (2015). Clinical conundrums in management of sepsis in the elderly. Journal of translational internal medicine, 3(3), 106–112. https://doi.org/10.1515/jtim-2015-0010
Disciplines
Medicine and Health Sciences
PubMedID
27847897
Department(s)
Department of Emergency Medicine
Document Type
Article