Intraabdominal Infections in Older Adults

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Intraabdominal infections represent a diagnostic and therapeutic challenge in the elderly population. Atypical presentations, diagnostic delays, additional comorbidities, and decreased physiologic reserve contribute to high morbidity and mortality, particularly among frail patients undergoing emergency abdominal surgery. While many infections are the result of age-related inflammatory, mechanical, or obstructive processes, infectious complications of feeding tubes are also common. The pillars of treatment are source control of the infection and judicious use of antibiotics. A patient-centered approach considering the invasiveness, risk, and efficacy of a procedure for achieving the desired outcomes is recommended. Structured communication and time-limited trials help ensure goal-concordant treatment.

Original languageEnglish (US)
Pages (from-to)493-507
Number of pages15
JournalClinics in Geriatric Medicine
Volume32
Issue number3
DOIs
StatePublished - Aug 1 2016

Keywords

  • Acute abdomen
  • Atypical presentation
  • Frailty
  • Geriatric surgery
  • Intraabdominal infection
  • Surgical outcomes

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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