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PECULIARITIES OF TREATMENT OF CNS INFECTIONS IN ELDERLY PEOPLE

In the elderly, renal function is often reduced, which requires special care when using aminoglycosides. It should be remembered that in such patients, vancomycin elimination is slowed down (half-life is 7.5 days). There is also a high incidence of HP with co-trimoxazole.
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PECULIARITIES OF TREATMENT OF CNS INFECTIONS IN ELDERLY PEOPLE

  1. PECULIARITIES OF TREATMENT OF INFECTIOUS INFECTIONS IN ELDERLY PEOPLE
    In elderly people, the frequency of infections with MEP is significantly increased, which is associated with complicating factors: benign prostatic hyperplasia in men and a decrease in estrogen levels in women during menopause. Therefore, the treatment of infections of MVP should include not only the use of AMP, but also the correction of the described risk factors. With benign prostatic hyperplasia
  2. Prevention of sudden cardiac death in the elderly
    Artificial cardioverter-defibrillator should not be used in elderly people whose life expectancy in connection with underlying or concomitant diseases is less than 1 year. To reduce the overall mortality in elderly people, it is necessary to use blockers more actively.
  3. The use of anti-infective chemotherapy drugs in the elderly
    The high incidence of infectious pathology in the elderly, along with its unfavorable prognosis, justifies the widespread use of AMP in them. The latter are one of the most frequently prescribed (about 40%) drugs in specialized departments of extended stay of elderly patients. However, the appointment of AMP in older age groups is not always clinically justified. Decision making on
  4. FEATURES OF TREATMENT OF CNS INFECTIONS IN CHILDREN
    In newborns, pathogens are more often group B streptococci, enterobacteria and listeria. Due to the fact that cefotaxime is inactive against listeria, at the same time, ampicillin or ampicillin in combination with aminoglycosides (usually with gentamicin) are used in children. Children are contraindicated the use of co-trimoxazole in the first 2 months, fluoroquinolones - up to 16 years. Cefepime is allowed for
  5. FEATURES OF TREATMENT OF CNS INFECTIONS IN PREGNANCY
    When choosing AMP in pregnant women, it is necessary to take into account its safety for the fetus: it is not recommended to use fluoroquinolones throughout the entire period of pregnancy, co-trimoxazole is contraindicated in the I and III trimester. Aminoglycosides and vancomycin can be used only for health reasons. The main drugs are III generation penicillins or cephalosporins
  6. Meaningful life orientations of elderly people
    Nikolai Zabolotsky has a line: How the world is changing! And how I myself am changing! Only by one name I am called, -In fact, what they call me, -Not I alone. There are a lot of us. I'm alive. Meaningful life orientations, like any mental formations, have their own dynamics. In the process of a person’s life, life-meaning orientations change in content, emotional coloring, and regulatory contribution to
  7. FEATURES OF TREATMENT OF CNS INFECTIONS IN BREAST-FEEDING
    Mandatory hospitalization of the patient with isolation from the child and with the termination of feeding
  8. PSYCHOLOGICAL FEATURES OF ELDERLY PEOPLE
    PSYCHOLOGICAL FEATURES OF THE ELDERLY
  9. FEATURES OF APPLICATION OF MEDICINES IN THE ELDERLY AND SENILE AGE
    The general principles of prescribing medicines for the elderly do not differ from those for other age groups, however, the use of the drug in lower doses is usually required (Bezrukov V., Kuprash L., 2005). In patients of this age category, adverse reactions during pharmacotherapy develop in general more often than in other age groups (table. 4.1). Last connected
  10. Features of anesthesia in the elderly and senile
    According to the WHO definition, men and women who have reached the age of over 65 years are considered to be elderly, the period of old age is from 75 to 90 years, over 90 years are long-livers. Of particular importance to the anesthesiologist are age-related changes in basal metabolism, decreased compensatory and adaptive capabilities of the cardiovascular and respiratory systems, and liver and kidney function. To 70 years
  11. Features of nutrition of the elderly
    In connection with the transition of the economy of our country to market relations at the end of the 20th century, the most important demographic indicators of the population sharply worsened: fertility, life expectancy, mortality, indicators of the physical development of the younger generation, which was due to a significant decrease in the standard of living of the bulk of the population. Already there is a sharp aging of the population, as in
  12. Features of the course and management of the postoperative period in elderly and senile patients
    Most women undergoing surgical surgical treatment, especially when performing high-volume operations, are in old and senile age. This should be taken into account when managing them in the postoperative period. People of the discussed age have certain biological and physiological changes (gerontological) of all organs and systems, which determine the specifics
  13. AH in the elderly.
    The results of randomized trials suggest that antihypertensive therapy reduces the risk of CVD and mortality in elderly patients with systolic-diastolic hypertension and ISAG. The principles of treatment for elderly patients with hypertension are the same as in the general population. Treatment should begin with lifestyle changes. Limiting consumption of salt and weight loss in this category of patients have
  14. Macrobiotics and old age
    Macrobiotics believes that old age begins with 70 years. For those who, from a young age, in the middle years and at a later age, live in harmony with the laws of the Universe, there is no need for a special diet. They can eat anything. Everything can be used in the macrobiotic sense of the world: Yin-Yang, who has lived for many years in dynamic equilibrium, is able to perfectly control himself. Its tall
  15. ABOUT ELDERLY AGE (51-65 YEARS)
    {foto62} Whatever life teaches us, But the heart believes in miracles. There is non-decreasing power, There is imperishable beauty. And the withering earthly Flowers will not touch the unearthly, And from the midday heat the Dew will not dry out on them. And this faith will not deceive the One who only lives by it, Not everything that flourished here will fade, Not everything that was here will pass! But this faith is for few
  16. Nutrition in old age and old age
    According to the age classification approved by the Congress of Gerontologists and Geriatricians, the population over 60 years old is divided into three age categories: elderly people - from 61 years old to 74 years old; persons of senile age - 75 years and older, long-livers - 90 years and older. Aging is a slow process of accumulation of age-related changes manifesting at all levels of the whole organism. TO
  17. Features of the diagnosis and treatment of heart failure in senile patients
    According to the results of recent studies - the European IMPROVEMENT-HF (data from 15 countries) and the Russian epidemiological EPOHA-O-CHF, the average age of patients with clinically manifested CHF is 70 and 69 years, respectively. Thus, approximately half of patients with heart failure are older than 70 years. The indicated clinical contingent is more problematic for clinicians, about which
  18. Opportunistic CNS infections
    AIDS patients have an increased risk of central nervous system damage with toxoplasmosis, cryptococcosis, tuberculosis, cytomegalovirus and varicella-zoster virus, as well as progressive multifocal encephalopathy. At the same time, the risk of acute bacterial meningitis and bacterial abscesses of the brain is not increased. Treatment of opportunistic infections is carried out according to general rules, however, a longer treatment is used.
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