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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 7/2015

01.10.2015 | Beiträge zum Themenschwerpunkt

Erkennen von Infektionen beim älteren Notfallpatienten

verfasst von: M. Hortmann, K. Singler, F. Geier, Prof. Dr. M. Christ, M.D.

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 7/2015

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Zusammenfassung

Hintergrund

Notaufnahmen werden zunehmend mit multimorbiden und komplex zu versorgenden älteren Patienten konfrontiert. Infektionen stellen eine der Haupttodesursachen der älteren Patienten, die sich in einer Notaufnahme vorstellen, dar. Sie sind aber häufig nur schwierig bei den betroffenen Patienten zu diagnostizieren.

Ziel der Arbeit

Die vorliegende Arbeit bietet eine Übersicht über wichtige Befundkonstellationen und Möglichkeiten/Limitierungen der Diagnostik von Infektionen bei älteren Patienten.

Material und Methode

Hierzu wurde eine selektive Literaturrecherche in PubMed im Zeitraum zwischen 1990 und 2015 durchgeführt. Ergänzend werden eigene Daten vorgestellt.

Ergebnisse und Schlussfolgerung

Infektionen älterer Notfallpatienten präsentieren sich häufig atypisch; daher ist es notwendig, auch subtile Veränderungen zu berücksichtigen. Zur Diagnosestellung einer akuten Infektion sind unspezifische Symptome, Vitalparameter, Laborwerte (einschließlich Infektionsmarker wie C-reaktives Protein oder Prokalzitonin), der kognitive Status und die Funktionalität des Patienten zu berücksichtigen.
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Metadaten
Titel
Erkennen von Infektionen beim älteren Notfallpatienten
verfasst von
M. Hortmann
K. Singler
F. Geier
Prof. Dr. M. Christ, M.D.
Publikationsdatum
01.10.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 7/2015
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-015-0903-2

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