Detaillierte Beitrags-Information
| Beitragstitel | Bone and joint infections in the elderly - where do we stand? |
|---|---|
| Beitragscode | P089 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
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| Abstract |
Introduction With increasing numbers of elderly patients, arthroplasties, fractures, and diabetic foot infections, the worldwide numbers of osteoarticular infections (OAI) among the elderly is concomitantly expected to rise. Methods We performed a literature search linking OAIs to geriatric patients and comparing very old patients (>65 years) with average adults (range, 18-65 y). Results Most literature on OAI lacks particularities for the elderly and age is not the primary objective of the overwhelming list of objectives in current research. Only less than a dozen articles specifically address OAIs in the geriatric population. However and fortunately, many papers analysed age as a continuous or categorical variable, which we explored “between the lines”. The majority of papers stem from the last decade and was written in English. Age itself was not an independent factor related to particular pathogens, prevention of OAI, nursing care, rehabilitation and outcomes of OAI. Financial aspects, comparison of diverse therapies on quality of life, reimbursement policies, or specific guidelines are missing. In general, elderly patients very probably have more adverse events of antibiotic therapy and undergo more conservative surgery and require more nursing care. Conclusion The literature on OAI is very sparse. Future clinical research likely will concern more conservative surgical indications, maybe less invasive techniques, but the reduction of inappropriate antibiotic use. |