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Title:	Clinical management of community acquired pneumonia in the elderly patient
Author:	Cillóniz, Catia; Ceccato, Adrian; San Jose, Alicia; Torres Martí, Antoni
Notes:	Introduction: Community acquired pneumonia (CAP) is a major health problem in elderly persons and is associated with high morbidity and mortality. Areas covered: This article reviews the most recent publications relative to CAP in the elderly population, with a focus on epidemiology, prognostic factors, microbial etiology, therapy and prevention. The data discussed in this review were mainly obtained from a non-systematic review using Medline, and references from relevant articles. Expert commentary: CAP can occur at any age, but its incidence and risk of death are linked to increasing age. Age-related changes in the immune system make this population more vulnerable to CAP. Mortality in hospitalized patients with CAP ranges from 10% to 12%. However, in the case of elderly patients, several studies have reported mortality rates of up to 25%. Pneumococcal and influenza vaccination comprise one of the most important preventive approaches for CAP in the elderly.
Subject(s):	-Pneumònia adquirida a la comunitat -Persones grans -Community-acquired pneumonia -Older people
Rights:	(c) Taylor and Francis, 2016
Document type:	Article Article - Accepted version
Published by:	Taylor and Francis
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