Little is known about pneumococcal carrier states in older adults. The main aim of this study was to evaluate pneumococcal colonization patterns among older adults in two centres in Milan, Italy, before the widespread use of the valent pneumococcal vaccine PCV13 in this age group, to investigate demographic and clinical features that are associated with pneumococcal colonization and to estimate the potential coverage offered by PCV Univariate and multivariate analyses revealed that pneumococcal colonization was significantly less common among individuals with underlying co-morbidities than among those without odds ratio [OR] 0. Moreover, among these patients, those with cardiac disease had a significantly lower risk of colonization OR 0. Only one vaccinated subject who received valent polysaccharide pneumococcal vaccine PPV23 was colonized. Twenty-five
Pneumonia in Older Adults: Tips for Prevention
Pneumococcal vaccination in older persons: where are we today?
This article covers community-acquired pneumonia CAP. This type of pneumonia is found in people who have not recently been in the hospital or another health care facility such as a nursing home or rehab facility. Pneumonia that affects people in health care facilities, such as hospitals is called hospital-acquired pneumonia. Pneumonia is a common illness that affects millions of people each year in the United States. Germs called bacteria, viruses, and fungi may cause pneumonia. In adults, bacteria are the most common cause of pneumonia. The health care provider will listen for crackles or abnormal breath sounds when listening to your chest with a stethoscope.
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The best prevention technique for pneumonia is getting vaccinated. For adults aged 65 years and older who have not received any pneumococcal vaccines, 1 dose of PCV13 is recommended followed by 1 dose of PPSV23 administered 1 year later. Having a weakened immune system from disease or drugs; congenital or acquired asplenia; cerebrospinal fluid leaks; and chronic heart, lung including asthma , liver, or renal disease raises the risk for developing pneumonia. In a study published in the Annals of Internal Medicine , researchers surveyed general internists and family physicians from March to June and noted that one of the main barriers to adult vaccination was financial. Another reason behind suboptimal vaccination in older adults might actually be diagnosis.
In , pneumonia, combined with influenza, was the eighth leading cause of death in the United Sates, according to the National Center for Health Statistics. On top of this, 1 out of 20 adults who get pneumonia dies, according to the Centers for Disease Control. This makes preventing pneumonia in the elderly a serious matter. Norman Edelman, the chief medical officer for the American Lung Association.