Skip to main content
SpringerLink
Log in

Actualités sur les infections urinaires et respiratoires basses du sujet âgé

Update on urinary and lower respiratory tracts infections in elderly

  • Mise au Point / Update
  • Published:
Les cahiers de l'année gérontologique

Résumé

L’évolution de l’épidémiologie microbienne des infections urinaires et respiratoires basses, associée aux impératifs de bon usage de l’antibiothérapie, ont conduit à la publication récente de plusieurs recommandations françaises et internationales sur la prise en charge de ces infections. À côté des données concernant l’ensemble des patients, les spécificités de leur diagnostic et de leur traitement chez le sujet âgé ont fait l’objet de chapitres spécifiques, ou peuvent être extraites de ces recommandations. Cet article en fait la synthèse.

Abstract

Changes in microbial epidemiology of urinary and lower respiratory tract infections, combined to the need for optimal antibiotic stewardship, lead to the recent publication of several French and international guidelines on the management of these infections. Beside the data concerning every patient, specificities on their diagnosis and their treatment in elderly can be underlined in these guidelines. Here is a review of the recommendations made.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Gavazzi G, Krause KH (2002) Ageing and infection. Lancet Infect Dis 2:659–66

    Article  PubMed  Google Scholar 

  2. Crétel E, Veen I, Pierres A, et al (2010) Immunosenescence and infections, myth or reality? Med Mal Infect 40:307–18

    Article  PubMed  Google Scholar 

  3. SPILF 2014 — 2014-infections_urinaires-court.pdf [Internet] [cité 25 juill 2014]. Disponible sur: http://www.infectiologie.com/site/medias/Recos/2014-infections_urinaires-court.pdf

  4. Hooton TM, Bradley SF, Cardenas DD, et al (2010) Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis 50:625–63

    Article  PubMed  Google Scholar 

  5. European Antimicrobial Resistance Surveillance Network (EARSNet) [Internet] [cité 23 sept 2013]. Disponible sur: http://www.ecdc.europa.eu/en/activities/surveillance/EARS-Net/Pages/index.aspx

  6. Kunz AN, Brook I (2010) Emerging resistant Gram-negative aerobic bacilli in hospital-acquired infections. Chemotherapy 56:492–500

    Article  PubMed  CAS  Google Scholar 

  7. Oteo J, Navarro C, Cercenado E, et al (2006) Spread of Escherichia coli strains with high-level cefotaxime and ceftazidime resistance between the community, long-term care facilities, and hospital institutions. J Clin Microbiol 44:2359–66

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  8. March A, Aschbacher R, Dhanji H, et al (2010) Colonization of residents and staff of a long-term-care facility and adjacent acutecare hospital geriatric unit by multiresistant bacteria. Clin Microbiol Infect Dis 16:934–44

    Article  CAS  Google Scholar 

  9. Marwick C, Santiago VH, McCowan C, et al (2013) Community acquired infections in older patients admitted to hospital from care homes versus the community: cohort study of microbiology and outcomes. BMC Geriatr 13:12

    Article  PubMed  PubMed Central  Google Scholar 

  10. Schoevaerdts D, Verroken A, Huang T-D, et al (2012) Multidrugresistant bacteria colonization amongst patients newly admitted to a geriatric unit: a prospective cohort study. J Infect 65:109–18

    Article  PubMed  Google Scholar 

  11. Appelbaum PC (2012) 2012 and beyond: potential for the start of a second pre-antibiotic era? J Antimicrob Chemother 67:2062–8

    Article  PubMed  CAS  Google Scholar 

  12. Épisodes impliquant des entérobactéries productrices de carbapénémases en France. Situation épidémiologique du 1er avril 2013 /Entérobactéries productrices de carbapénémases (EPC) / Surveillance des infections associées aux soins (IAS) / Infections associées aux soins / Maladies infectieuses / Dossiers thématiques / Accueil [Internet] [cité 23 sept 2013]. Disponible sur: http://www.invs.sante.fr/Dossiers-thematiques/Maladies-infectieuses/Infections-associees-aux-soins/Surveillance-des-infections-associees-aux-soins-IAS/Enterobacteries-productrices-de-carbapenemases-EPC/Episodes-impliquant-des-enterobacteries-productrices-de-carbapenemases-en-France.-Situation-epidemiologiquedu-1er-avril-2013

  13. IU CCLIN SE 2013 [Internet]. [cité 23 sept 2013]. Disponible sur: http://nosobase.chu-lyon.fr/recommandations/cclin_arlin/EMS/V2013/ATB_InfUrinaire_VDef.pdf

  14. Infections respiratoires basses MAP 2010 [Internet]. [cité 23 sept 2013]. Disponible sur: http://ansm.sante.fr/var/ansm_site/storage/original/application/b33b6936699f3fefdd075316c40a0734.pdf

  15. Légionellose AFSSAPS 2011 [Internet]. [cité 23 sept 2013]. Disponible sur: http://www.infectiologie.com/site/medias/_documents/consensus/2011-afssaps-MAP-legionellose.pdf

  16. Woodhead M, Blasi F, Ewig S, et al (2011) Guidelines for the management of adult lower respiratory tract infections—summary. Clin Microbiol Infect 17:1–24

    Article  PubMed  Google Scholar 

  17. Pneumo épidémio CNR 2012 [Internet]. [cité 23 sept 2013]. Disponible sur: http://cnr-pneumo.fr/docs/rapports/CNRP2012.pdf

  18. Chertow DS, Memoli MJ (2013) Bacterial coinfection in influenza: a grand rounds review. JAMA 309:275–82

    Article  PubMed  CAS  Google Scholar 

  19. Del Giudice P, Tattevin P, Etienne J (2012) Community-acquired methicillin-resistant Staphylococcus aureus: Review. Presse Med 41:713–20

    Article  PubMed  Google Scholar 

  20. Ruuskanen O, Lahti E, Jennings LC, Murdoch DR (2011) Viral pneumonia. Lancet 377:1264–75

    Article  PubMed  Google Scholar 

  21. Haber N, Dekimeche S, Cantet C, et al (2009) Lower respiratory tract infections with influenza and respiratory syncytial viruses in hospitalized elderly patients during the 2005-2006 winter season. Presse Med 38:893–903

    Article  PubMed  Google Scholar 

  22. Hardelid P, Pebody R, Andrews N (2013) Mortality caused by influenza and respiratory syncytial virus by age group in England and Wales 1999–2010. Influenza Other Respir Viruses 7:35–45

    Article  PubMed  CAS  Google Scholar 

  23. Falsey AR, Dallal GE, Formica MA, et al (2008) Long-term care facilities: a cornucopia of viral pathogens. J Am Geriatr Soc 56:1281–5

    Article  PubMed  PubMed Central  Google Scholar 

  24. Elliot AJ, Fleming DM (2008) Influenza and respiratory syncytial virus in the elderly. Expert Rev Vaccines 7:249–58

    Article  PubMed  Google Scholar 

  25. Caram LB, Chen J, Taggart EW, et al (2009) Respiratory syncytial virus outbreak in a long-term care facility detected using reverse transcriptase polymerase chain reaction: an argument for real-time detection methods. J Am Geriatr Soc 57:482–5

    Article  PubMed  Google Scholar 

  26. Kandel R, Srinivasan A, D’Agata EMC, et al (2010) Outbreak of adenovirus type 4 infection in a long-term care facility for the elderly. Infect Control Hosp Epidemiol 31:755–7

    Article  PubMed  Google Scholar 

  27. Van Asten L, van den Wijngaard C, van Pelt W, et al (2012) Mortality attributable to 9 common infections: significant effect of influenza A, respiratory syncytial virus, influenza B, norovirus, and parainfluenza in elderly persons. J Infect Dis 206:628–39

    Article  PubMed  Google Scholar 

  28. Litwin CM, Bosley JG (2013) Seasonality and prevalence of respiratory pathogens detected by multiplex PCR at a tertiary care medical center. Arch Virol 159:65–72

    Article  PubMed  Google Scholar 

  29. Thurman KA, Walter ND, Schwartz SB, et al (2009) Comparison of laboratory diagnostic procedures for detection of Mycoplasma pneumoniae in community outbreaks. Clin Infect Dis 48:1244–9

    Article  PubMed  Google Scholar 

  30. Wunderink RG, Waterer GW(2014) Clinical practice. Communityacquired pneumonia. N Engl J Med 370:543–51

    Article  PubMed  CAS  Google Scholar 

  31. Grippe ttt HCSP 2012 [Internet]. [cité 23 sept 2013]. Disponible sur: http://www.hcsp.fr/Explore.cgi/Telecharger?NomFichier=hcspa20121109_antivirauxextrahospgrippe.pdf

  32. Michiels B, Van Puyenbroeck K, Verhoeven V, et al (2013) The value of neuraminidase inhibitors for the prevention and treatment of seasonal influenza: a systematic review of systematic reviews. PloS One 8:e60348

    Article  Google Scholar 

  33. Rouveix E, Greffe S, Dupont C, et al (2013) Low vaccination coverage against influenza in elderly hospitalized in France. Rev Med Interne 34:730–4

    Article  PubMed  CAS  Google Scholar 

  34. Rouveix E, Gherissi Cherni D, Dupont C, et al (2013) Streptococcus pneumoniae vaccinal coverage in hospitalized elderly patients in France. Med Mal Infect 43:22–7

    Article  PubMed  CAS  Google Scholar 

  35. Jefferson T, Di Pietrantonj C, Al-Ansary LA, et al (2010) Vaccines for preventing influenza in the elderly. Cochrane Database Syst Rev 2:CD004876

    Google Scholar 

  36. Beyer WEP, McElhaney J, Smith DJ, et al (2013) Cochrane rearranged: support for policies to vaccinate elderly people against influenza. Vaccine 31:6030–3

    Article  PubMed  Google Scholar 

  37. Thomas RE, Jefferson T, Lasserson TJ (2013) Influenza vaccination for healthcare workers who care for people aged 60 or older living in long-term care institutions. Cochrane Database Syst Rev 7:CD005187

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service de maladies infectieuses, centre hospitalier, BP 1125, F-73011, Chambéry cedex, France

    E. Forestier

Authors
  1. E. Forestier
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to E. Forestier.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Forestier, E. Actualités sur les infections urinaires et respiratoires basses du sujet âgé. cah. année gerontol. 6, 119–125 (2014). https://doi.org/10.1007/s12612-014-0396-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12612-014-0396-4

Mots clés

Keywords

Search

Navigation