• 1

    National Center for Health Statistics: “Leading Causes of Death and Number of Deaths According to Age: United States, 1980 and 1993,” in Health United States, 1995, US Department of Health and Human Services, DHSS Publication No. (PHS) 96-1232, Hyattsville, MD, 1996..

  • 2

    Bentley D, Bradley S, High K, et al: IDSA (Infectious Diseases Society of America) practice guidelines for evaluation of fever and infection in long-term care facilities. .Clin Infect Dis 31::640. ,2000. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3

    Castle S, Yeh M, Toledo S, et al: Lowering the temperature criterion improves detection of infections in nursing home residents. .Aging Immunol Infect Dis 4:: 67. ,1993. .

    • Search Google Scholar
    • Export Citation
  • 4

    Berman P, Hogan D, Fox R: The atypical presentation of infection in old age. .Age Ageing 16::201. ,1987. .

  • 5

    McFadden J, Price R, Eastwood H, et al: Raised respiratory rate in dehydrated elderly patients. .Clin Endocrinol 20::451. ,1984. .

  • 6

    Mylotte J, Naughton B, Saludades C, et al: Validation and application of the Pneumonia Prognosis Index to nursing home residents with pneumonia. .J Am Geriatr Soc 46::1538. ,1998. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Wasserman M, Levinstein M, Keller E, et al: Utility of fever, white blood cells, and differential count in predicting bacterial infections in the elderly. .J Am Geriatr Soc 37::537. ,1989. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8

    Nicolle L: Asymptomatic bacteriuria in the elderly. .Infect Dis Clin North Am 11::647. ,1997. .

  • 9

    Muder R, Brennen C, Wagener N, et al: Bacteremia in a long-term-care facility: a five-year prospective study of 163 consecutive episodes. .Clin Infect Dis 14::647. ,1992. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Pfitzenmeyer P, Decret H, Auckenthaler R, et al: Predicting bacteremia in older patients. .J Am Geriatr Soc 43::230. ,1995. .

  • 11

    Gleckman R, Hilbert D: Afebrile bacteremia: a phenomenon in geriatric patients. .JAMA 248::1478. ,1982. .

  • 12

    Sachs MK: The optimum use of needle aspiration in the bacteriologic diagnosis of cellulitis in adults. .Arch Intern Med 120::1907. ,1990. .

    • Search Google Scholar
    • Export Citation
  • 13

    Nicolle L: Resistant pathogens in urinary tract infections. .J Am Geriatr Soc 50::S230. ,2002. .

  • 14

    Centers for Disease Control and Prevention: Pneumonia and influenza death rates: United States, 1979-1994. .MMWR Morb Mortal Wkly Rep 44::535. ,1995. .

  • 15

    Fein A: Pneumonia in the elderly: overview of diagnostic and therapeutic approaches. .Clin Infect Dis 28:: 726. ,1999. .

  • 16

    Mandell L, Bartlett JG, Dowell S, et al: Update of practice guidelines for the management of community-acquired pneumonia in immunocompetent adults. .Clin Infect Dis 37::1405. ,2003. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17

    Levison M: “Pneumonia, Including Necrotizing Pulmonary Infection (Lung Abscess),” in Harrison’s Principles of Internal Medicine, 15th Ed, ed by E Braunwald, AS Fauci, DL Kasper, et al, p 1483, McGraw-Hill Professional, New York, 2001..

  • 18

    Opal S: Skin and Soft Tissue Infections, Internal Medicine Teaching Conference, Memorial Hospital of Rhode Island, Pawtucket, RI, June 23, 2003..

  • 19

    Lipsky B: Osteomyelitis of the foot in diabetic patients. .Clin Infect Dis 25::1318. ,1997. .

  • 20

    Bartlett JG: Pocket Book of Infectious Disease Therapy, p 222, Lippincott Williams & Wilkins, Philadelphia, 2002..

  • 21

    McCue J: Antibiotic use in the elderly: issues and nonissues. .Clin Infect Dis 28::750. ,1999. .

Infection and Fever in the Elderly

Patricia A. Cristofaro Department of Infectious Diseases, Department of Medicine, Memorial Hospital of Rhode Island and Brown Medical School, 111 Brewster St, Pawtucket, RI 02860.

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The elderly make more frequent use of general podiatric medical services than the younger population. It is therefore important for podiatric physicians to become familiar with the general principles of infectious disease as applied to an elderly population, which is susceptible to a wider spectrum of disease with more subtle and unusual clinical signs and symptoms. This article reviews the diagnosis and evaluation of suspected infection, appropriate laboratory testing, patterns of specific infectious disease syndromes, and antibiotic use in the elderly. (J Am Podiatr Med Assoc 94(2): 126-134, 2004)