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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com


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sábado, 25 de agosto de 2012

Fiebre en el anciano


Fever In The Elderly: How To Surmount The Unique Diagnostic And Therapeutic Challenges

Authors: Leinicke T., Navitsky R., Cameron S.,Brillman J - Peer reviewer: Karas S.

"Just as “children are not little adults,” the elderly cannot be considered superannuated specimens. Physiologic and behavioral differences demand that emergency physicians manage illness in the elderly differently than we do in younger adults. In fact, two central medical principles used for children can be applied to the elderly: Patients are more vulnerable, and symptoms are much less specific.
This issue of Emergency Medicine Practice will address the unique issues involved in assessment and treatment of the febrile senior. Special attention is given to differences in presentation between the infected elderly and younger adults. We also emphasize changes in management due to comorbid disease. The specific recommendations for disposition and antibiotic therapy are tailored to the ED setting."



Occult Staphylococcus aureus Bacteremia in Adult Emergency Department Patients: Rare but Important
Fu Chia-Ming y col. CID 2012; 54: 1536-1544
"Among patients with occult bacteremia, S. aureus infections had significantly greater adverse impacts on a variety of outcome variables than other bacterial infections. Because S. aureus bacteremia is frequently associated with endovascular or deep-seated infection, it is imperative that first-line clinicians perform prudent evaluations of cases with nonapparent infection foci before discharging febrile patients from EDs