Management of Community-Acquired Legionella Pneumonia
- Fri, 10/15/10 - 9:30am
- 0 Comments
- 4190 reads
Legionella pneumonia is an infrequent, often community-acquired pneumonia (CAP) that may present occasionally to healthcare providers. The sporadic nature of this type of pneumonia may lead to the misdiagnosis as a simple pneumonia, especially in otherwise healthy individuals. Legionella pneumonia is also unique in that it is not transmitted person to person; its mode of transmission appears to be through contaminated water or inhalation of bacteria.
HIV Testing and Prevention for Older Adults: Is the Office the Proper Setting for Discussion?
- Tue, 11/11/08 - 11:05am
- 0 Comments
- 4615 reads
Author Affiliations:
Dr. Warner-Maron is from the University of the Sciences in Philadelphia, PA.
Introduction
Recent recommendations put forth by the Centers for Disease Control and Prevention (CDC) include HIV testing in all clinical settings, the testing of high-risk patients annually, and screening for patients age 13-64 years.1 With the advent of erectile dysfunction medications and increased longevity of patients, the rate of HIV infections among older people has increased. Statistics from the CDC reporting cumulative HIV cases for all age
HIV Testing and Prevention for Older Adults: Is the Office the Proper Setting for Discussion? Handout
- Tue, 8/12/08 - 9:02am
- 0 Comments
- 843 reads
For Patients
HIV and Older People
What is HIV/AIDS?
The human immunodeficiency virus (HIV) causes AIDS. HIV lives in body fluids such as blood, semen, and vaginal fluids. Direct contact with these fluids may infect you. Direct contact means sexual contact (vaginal, oral, anal) or by sharing needles for intravenous (IV) drug use.
AIDS destroys the body’s ability to fight s
HIV Testing and Prevention for Older Adults: Is the Office the Proper Setting for Discussion?
- Tue, 8/12/08 - 8:53am
- 0 Comments
- 1785 reads
Dr. Warner-Maron is from the University of the Sciences in Philadelphia, PA.
Introduction
Recent recommendations put forth by the Centers for Disease Control and Prevention (CDC) include HIV testing in all clinical settings, the testing of high-risk patients annually, and screening for patients age 13-64 years.1 With the advent of erectile dysfunction medications and increased longevity of patients, the rate of HIV infections among older people has increased. Statistics from the CDC reporting
HIV, Psychiatric Comorbidity, and Aging
- Thu, 1/17/08 - 4:18am
- 0 Comments
- 4162 reads
Case Presentation
Mrs. H was a pleasant 93-year-old African-American woman who presented to her primary care physician for fatigue, pruritis, and weight loss of 40 pounds over 6-8 months. Her medical history included depression, hypertension, arthritis, stroke, and diverticulitis. At the time of her presentation, her medications included paroxetine, hydrochlorothiazide, and aspirin. Mrs. H’s physician did an extensive work-up that revealed a positive HIV enzyme-linked immunosorbent assay (ELISA) and positive rapid plasma reagin (RPR) and venereal disease research laboratory (VDRL) te
The Aging Urinary Tract and Asymptomatic Bacteriuria
- Thu, 1/17/08 - 4:18am
- 0 Comments
- 5501 reads
Aging is associated with a decline in function of many body systems, including the urinary tract. Bacteria seem to gain an advantage within the urinary tract of the elderly, and it is not uncommon to find bacteriuria; however, not all of these patients have a true urinary tract infection (UTI). UTI is considered to be the most common infection among the elderly1-3 and the most common cause of bacteremia,4 but patients with bacteriuria who can clearly communicate the absence of urinary tract symptoms have asymptomatic bacteriuria (ASB) and do not require treatment. The pre
Update on Prevention and Treatment of Influenza in the Elderly
- Thu, 1/17/08 - 4:17am
- 0 Comments
- 3789 reads
INTRODUCTION
Influenza, a lower respiratory tract infection caused by influenza viruses infecting ciliated cells, is associated with up to 300,000 hospitalizations annually in the United States.1 The disease occurs in epidemics in both hemispheres during winter months, but summertime outbreaks do exist.2 Persons with chronic illness and those in long-term care (LTC) settings are at increased risk for complications, including secondary pneumonia.3 Influenza and pneumonia consistently rank as a leading cause of death, of which about 90% of victims are over 64 ye
Influenza in the Elderly
- Thu, 1/17/08 - 4:17am
- 0 Comments
- 3806 reads
INTRODUCTION
Influenza is a very common respiratory illness. It usually occurs in 15-25% of the world’s human population each year.1-3 This illness typically has a low death rate, with average overall mortality rates of 0.1% or less. However, influenza carries much higher rates of morbidity and mortality in the elderly and other vulnerable populations,2-5 and thus it is of special interest to geriatricians and public health physicians.
Influenza epidemics have been well documented since Buonissequi described the “grande influenza” in 1357.6 At least 31 influenza pandemics have occu
Diagnosis and Management of Urinary Tract Infections in Older Women
- Thu, 1/17/08 - 4:16am
- 0 Comments
- 8867 reads
Educational Objectives
1. To identify risk factors associated with the development of UTI in older women
2. To understand the management of asymptomatic bacteriuria
3. To be able to recommend antimicrobial treatment for UTI in older women
4. To understand the major side effects and drug interactions associated with antimicrobials used to treat UTI
ACCREDITATION
The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Johns Hopkins University School of Medic
