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Community acquired infections in elderly population

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Kucukardali Y., Oncul O., Kunter E., Turhan V., Solmazgul E., Terekeci H., Sayan O., Oktenli C.

Open Medicine

2009

vol. 4

issue 2

171-178

In geriatric practice, data regarding infections including the epidemiology, morbidity, and mortality are lacking. Our aim was to evaluate the frequency, location, microbiological and laboratory characteristics of infectious diseases in elderly population admitted to a training hospital. The patients were included total of 330 patients, aged over 65 with infection, seen between January 1, 2005 and January 1, 2006. In the result, of patients 136 (41%) had respiratory system infection, 90 (27%) urinary system infection, 39 (12%) gastrointestinal system infection, 34 (10%) bloodstream infections, 17 (5%) soft tissue infection, 8 (2%) central nervous system infections, and 6 (2%) others. Average length of hospitalization was 8.6±7.7 days. Mortality rate from all causes was 57 (17%). The most common infections in elderly patients were respiratory tract and urinary system infections, and there were no fever, leukocytes and high CRP levels in approximately 1/3 of cases. Infectious diseases may occur even in the absence of such infection indicators as fever, raised WBC count and high CRP level in the elderly population.

Symptom analysis of confirmed COVID-19 patients - cross sectional study.

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Asif K., Abbas F.

Critical Care Innovations

2021

vol. 4

issue 4

1-8

INTRODUCTION: : Coronavirus can cause respiratory disease ranging from mild upper respiratory tract illness to severe pneumonia, acute respiratory distress syndrome, and death. The purpose of this research was to analyze the relationship of gender and age with symptoms of COVID-19 disease. MATERIAL AND METHODS: Consecutive sampling methodology was used, and all real-time polymerase chain reaction (RT-PCR) confirmed patients of COVID-19 were included. Data regarding age, gender, and symptoms with onset was recorded and analyzed using Chi-square and Student t-tests with P-value ≤ .05 considered as significant. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 25.0 RESULTS: Ninety-eight patients, 68 (69.4%) males and 30 (30.6%) females were included in the study. Fifty-five (56.1%) were symptomatic and the rest were asymptomatic. Mean duration of symptoms in symptomatic cases was 2.8±1.1 days. Of these, 60 (61.85%) were older than 40 years and 17 (17.34%) had a history of travel. Fever and persistent cough were reported by more than 50% patients. Fatigue, sore throat, shortness of breath and myalgias and headaches were reported by 32-21% patients. Nausea, Vomiting, runny nose, sputum, diarrhea and anorexia were reported by less than 11% patients. Fever, dyspnea and nausea were more in individuals over 40 years. Dyspnea was more in males and fatigue was more in females. CONCLUSIONS:Many of our COVID-19 infected patients were symptomatic with fever and cough as the most common symptoms. Recognition of the pattern of these symptoms is essential for early diagnosis and management of the disease.

WSTĘP: Koronawirus może powodować choroby układu oddechowego, od łagodnej choroby górnych dróg oddechowych do ciężkiego zapalenia płuc, zespołu ostrej niewydolności oddechowej i śmierci. Celem tego badania była analiza związku płci i wieku z objawami choroby COVID-19. MATERIAŁ I METODY: Zastosowano metodologię pobierania próbek i całego łańcucha polimerazy w czasie rzeczywistym reakcji (RT-PCR) u pacjentów z potwierdzonym COVID-19. Dane dotyczące wieku, płci i początkowych objawów zostały zarejestrowane i przeanalizowane za pomocą testów t-Studenta i Chi-kwadrat z wartością P ≤ 0,05 uznaną za istotną. Dane zostały wprowadzone i przeanalizowane za pomocą Pakietu Statystycznego dla Nauk Społecznych (SPSS) w wersji 25.0. WYNIKI: Do badania włączono 98 pacjentów, 68 (69,4%) mężczyzn i 30 (30,6%) kobiet. Pięćdziesiąt pięć (56,1%) było objawowych, a reszta bezobjawowych. Średni czas trwania objawów w przypadkach objawowych wynosił 2,8±1,1 dnia. Spośród nich 60 (61,85%) było w wieku powyżej 40 lat, a 17 (17,34%) miało historię podróży. Gorączka i uporczywy kaszel zgłosiło ponad 50% pacjentów. Zmęczenie, ból gardła, duszność, bóle mięśni i bóle głowy zgłosiło 32-21% pacjentów. Nudności, wymioty, katar, plwocinę, biegunkę i anoreksję zgłosiło mniej niż 11% pacjentów. Gorączka, duszność i nudności częściej występowały u osób powyżej 40 roku życia. Duszność była częstsza u mężczyzn, a zmęczenie występowało częściej u kobiet. WNIOSKI: Wielu z naszych pacjentów zakażonych COVID-19 miało objawy z gorączką i kaszlem jako najbardziej typowe. Rozpoznanie wzorca tych objawów ma zasadnicze znaczenie dla wczesnej diagnozy i leczenia choroby.

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Community acquired infections in elderly population

Symptom analysis of confirmed COVID-19 patients - cross sectional study.