Clinical analysis of lung infection in patients age 80 and over / 中国基层医药

ABSTRACT

Objective To explore the clinical features,related diseases,,etiology of inhalation pneumonia and premonition of lung infection in patients age 80 and over.Methods The 104 patients over 80 years old with pulmonary infection were analyzed retrospectively,statistical analysis of the main clinical manifestations,associated diseases and pathogens.Results Aspiration pneumonia (AP)in 77 cases (74%),Chronic respiratory disease accounted for only 26%,mostly associated with serious cardiovascular and cerebrovascular diseases,cognitive disorder,Chronic gastrointestinal diseases(Gastritis,reflux esophagitis,gastrointestinal dysfunction,constipation),long-term bed,Can not take care of themselves.Sputum bacterial cultures isolated from 66 (63.5%)strains,Gram positive cocci were 18 strains (27.3%),Gram negative bacilli were 38 strains (57.6%),Fungal strains were 15 strains (22.7%).Conclusion In the elderly over the age of 80,pulmonary infection mostly occured by Aspiration pneumonia.We should strengthen the awareness of Aspiration pneumonia,especially accompanied by cough,chronic gastric disease.Take reasonable application of antibiotics according to the pathogen test results.