Respiratory Medicine
Volume 104, Issue 4 , Pages 584-592 , April 2010

Community-acquired pneumonia and nursing home-acquired pneumonia in the very elderly patients

  • Takaya Maruyama

      Affiliations

    • Department of Pulmonary and Critical Care Medicine, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu City, Mie Prefecture, Japan
    • ,
  • Esteban C. Gabazza

      Affiliations

    • Department of Immunology, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu City, Mie Prefecture 514-8507, Japan
    • Corresponding Author InformationCorresponding author. Tel.: +81 59 231 5017; fax: +81 59 231 5225.
    • ,
  • John Morser

      Affiliations

    • Division of Hematology, Stanford University School of Medicine, 269 Campus Drive, CCSR 1155, Stanford, CA 94305-5156, USA
    • ,
  • Takehiro Takagi

      Affiliations

    • Department of Pulmonary and Critical Care Medicine, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu City, Mie Prefecture, Japan
    • ,
  • Corina D'Alessandro-Gabazza

      Affiliations

    • Department of Pulmonary and Critical Care Medicine, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu City, Mie Prefecture, Japan
    • ,
  • Shizu Hirohata

      Affiliations

    • Kinan General Hospital, 4750 Atawa, Mihama-chou, Minamimuro, Mie 519-5293, Japan
    • ,
  • Sei Nakayama

      Affiliations

    • Kinan General Hospital, 4750 Atawa, Mihama-chou, Minamimuro, Mie 519-5293, Japan
    • ,
  • Alexis Y. Ramirez

      Affiliations

    • Department of Immunology, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu City, Mie Prefecture 514-8507, Japan
    • ,
  • Atsushi Fujiwara

      Affiliations

    • Department of Pulmonary and Critical Care Medicine, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu City, Mie Prefecture, Japan
    • ,
  • Masahiro Naito

      Affiliations

    • Department of Pulmonary and Critical Care Medicine, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu City, Mie Prefecture, Japan
    • ,
  • Kimiaki Nishikubo

      Affiliations

    • Kinan General Hospital, 4750 Atawa, Mihama-chou, Minamimuro, Mie 519-5293, Japan
    • ,
  • Hisamichi Yuda

      Affiliations

    • Mie Prefecture General Hospital, 5450-132 Hinaga, Yokkaichi, Mie 510-0885, Japan
    • ,
  • Masamichi Yoshida

      Affiliations

    • Mie Prefecture General Hospital, 5450-132 Hinaga, Yokkaichi, Mie 510-0885, Japan
    • ,
  • Yoshiyuki Takei

      Affiliations

    • Department of Gastroenterology and Hepatology, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu City, Mie Prefecture, Japan
    • ,
  • Osamu Taguchi

      Affiliations

    • Department of Pulmonary and Critical Care Medicine, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu City, Mie Prefecture, Japan

Received 14 December 2008 ,Accepted 16 December 2009.

References 

  1. Committee for The Japanese Respiratory Society guidelines for the management of respiratory infections . Guidelines for the management of community acquired pneumonia in adults, revised edition. Respirology. 2006;11(Suppl. 3):S79–S133
  2. Janssens JP, Krause KH. Pneumonia in the very old. Lancet Infect Dis. 2004;4:112–124
  3. Janssens JP. Pneumonia in the elderly population. Curr Opin Pulm Med. 2005;11:226–230
  4. Troy CJ, Peeling RW, Ellis AG, Hockin JC, Bennett DA, Murphy MR, et al. Chlamydia pneumoniae as a source of infectious outbreaks in nursing homes. JAMA. 1997;277:1214–1218
  5. Maruyama T, Niederman MS, Kobayashi T, Kobayashi H, Takagi T, D'Alessandro-Gabazza CN, et al. A prospective comparison of nursing home-acquired pneumonia with hospital-acquired pneumonia in non-intubated elderly. Respir Med. 2008;102:1287–1295
  6. Zalacain R, Torres A, Celis R, Blanquer J, Aspa J, Esteban L, et al. Pneumonia in the elderly working group, area de tuberculosis e infecciones respiratorias. Community-acquired pneumonia in the elderly: spanish multicentre study. Eur Respir J. 2003;21:294–302
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  12. Marcos MA, Jiménez de Anta MT, de la Bellacasa JP, González J, Martínez E, García E, et al. Rapid urinary antigen test for diagnosis of pneumococcal community acquired pneumonia in adults. Eur Respir J. 2003;21:209–214
  13. Dowell SF, Peeling RW, Boman J, et al. Standardizing Chlamydia pneumoniae assays: recommendtions from the centers for disease control and prevention (USA) and the laboratory center for disease control (Canada). Clin Infect Dis. 2001;33:492–502
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  15. Ngeh J, Goodbourn C. Chlamydia pneumoniae, Mycoplasma pneumoniae, and Legionella pneumophila in elderly patients with stroke (C-PEPS, M-PEPS, L-PEPS): a case-control study on the infectious burden of atypical respiratory pathogens in elderly patients with acute cerebrovascular disease. Stroke. 2005;36:259–265
  16. Bandaru VC, Kaul S, Laxmi V, Neeraja M, Mahesh MU, Alladi S, et al. Antibodies to Chlamydia pneumoniae are associated with increased intima media thickness in asymptomatic Indian individuals. J Stroke Cerebrovasc Dis. 2009;18:190–194
  17. Paldanius M, Leinonen M, Virkkunen H, Tenkanen L, Sävykoski T, Mänttäri M, et al. Chlamydia pneumoniae antibody levels before coronary events in the Helsinki heart study as measured by different methods. Diagn Microbiol Infect Dis. 2006 Nov;56(3):233–239
  18. Schmidt-Ioanas M, Lode H. Treatment of pneumonia in elderly patients. Expert Opin Pharmacother. 2006;7:499–507
  19. Riquelme R, Torres A, El-Ebiary M, de la Bellacasa JP, Estruch R, Mensa J, et al. Community-acquired pneumonia in the elderly. A multivariate analysis of risk and prognostic factors. Am J Respir Crit Care Med. 1996;154:1450–1455
  20. Papazian L, Fraisse A, Garbe L, Zandotti C, Thomas P, Saux P, et al. Cytomegalovirus. An unexpected cause of ventilator-associated pneumonia. Anesthesiology. 1996;84:280–287

PII: S0954-6111(09)00429-6

doi: 10.1016/j.rmed.2009.12.008

Respiratory Medicine
Volume 104, Issue 4 , Pages 584-592 , April 2010

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