Geriatric Infectious Diseases: Current Concepts on Diagnosis and Management

Thomas T. Yoshikawa, MD; Dean C. Norman, MD


J Am Geriatr Soc. 2017;65(3):631-641. 

In This Article

Abstract and Introduction


New information on infectious diseases in older adults has become available in the past 20 years. In this review, in-depth discussions on the general problem of geriatric infectious diseases (epidemiology, pathogenesis, age-related host defenses, clinical manifestations, diagnostic approach); diagnosis and management of bacterial pneumonia, urinary tract infection, and Clostridium difficile infection; and the unique challenges of diagnosing and managing infections in a long-term care setting are presented.


Since the first review on the topic of infections in the aging population published in this journal in 1985, new information on infectious diseases in older adults has become available.[1] In this review, the discussion will be focused on three major areas: The general problem and approach to the diagnosis and management of infections in older adults (geriatric infectious diseases); management of three specific geriatric infectious disease that are especially common, important, or relevant to older adults in the ambulatory, hospital, and long-term care settings; and general concerns about geriatric infectious disease in long-term care facilities (LTCFs).