PDF(Sci-hub)
Abstract：
The incidence of community-acquired pneumonia increases with age and is associated with an elevated morbidity and mortality due to the physiological changes associated with aging and a greater presence of chronic disease. Taking into account the importance of this disease from an epidemiological and prognostic point of view, and the enormous heterogeneity described in the clinical management of the elderly, we believe a specific consensus document regarding this patient profile is necessary. The purpose of the present work was to perform a review of the evidence related to the risk factors for the etiology, the clinical presentation, the management and the treatment of community-acquired pneumonia in elderly patients with the aim of producing a series of specific recommendations based on critical analysis of the literature. This document is the result of the collaboration of different specialists representing the Spanish Society of Emergency Medicine and Emergency Care (SEMES), the Spanish Society of Geriatrics and Gerontology (SEGG), the Spanish Society of Chemotherapy (SEQ), the Spanish Society of Internal Medicine (SEMI), the Spanish Society of Respiratory Medicine and Thoracic Surgery (SEPAR), Spanish Society of Home Hospitalization (SEHAD) and the Spanish Society of Infectious Disease and Clinical Microbiology (SEIMC).
摘要：
社区获得性肺炎的发病率随着年龄的增长而增加，并且由于与衰老相关的生理变化和更多的慢性疾病的存在而与发病率和死亡率升高相关。从流行病学和预后的角度考虑到这种疾病的重要性，以及老年人临床管理中描述的巨大异质性，我们认为有必要就这一患者概况发表一份具体的共识文件.本工作的目的是对与病因危险因素相关的证据进行审查，临床表现，老年患者社区获得性肺炎的管理和治疗，目的是在对文献进行批判性分析的基础上提出一系列具体建议。该文件是代表西班牙急诊医学和急诊护理协会（SEMES）的不同专家合作的结果，西班牙老年病学和老年学学会（SEGG），西班牙化疗学会（SEQ），西班牙内科学会（SEMI），西班牙呼吸医学和胸外科学会（SEPAR），西班牙家庭住院协会（SEHAD）和西班牙传染病和临床微生物学协会（SEIMC）。
