2024-03-29T16:24:40Z
https://ejgg.journals.ekb.eg/?_action=export&rf=summon&issue=912
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2356-8712
2017
4
1
The Profile of Multi Drug Resistant Bacterial Infections in Long Term Care Facility
EL Bedewy
R
Aim: To detect the commonest mul tidrug resistant bacteria and i ts antibiotic sensi tivi ty in elderly residents at LTCFMethods: 126 LTCF elderly residents and documented mul ti drug resista nt organisms in thei r samples. Cul ture andsensi tivi ty was done for col lected samples documenting mul tidrug resistant organisms wi th i ts antibiotic susceptibi l i tyto a range of di fferent antibiotic groups. Demographic data was col lected and comorbidi ties were establ ished. Al lsamples were processed as per standard techniques and bacteria identi fied by standard biochemical tests. IBM SPSSstatistics (version 24, IBM corp., USA, 2016) was used for data analysis.Results: The age range f rom 60 to 98 years wi t h mean 70.5794 +/- SD 10.17years. Males are 79 (~62.27%) , whi lefemales are 47(~37.37%), The predominant resistant detected organism in these samples is Proteus (49.2 %), thenKlebsiela (22.2 %) , then E Col i (11.1%), then Pseudomonas (9.5%), then MRSA (4.8%) and lastly, Mix of [Klebsiela +Pseudomonas ] ~ (3.2%) . Proteus is found to be highly statistical ly signi ficant sensi tive to Meronam (MEM) , Imipenam(IMP), Ciprofloxacin (CP) and highly statistical ly signi ficant resistant to Cefuroxime (CRM) , Ceftazidime (CAZ) ,Gentamycin (GM), Col istin (CT) , Trimethoprim/Sul famethoxazole (TS), Ni t rofurantoin (FD) , Tobramycin (Tobra) whi leKlebsiel la is highly statistical ly signi ficant sensi tive to Ceftazidime (CAZ) , Col istin (CT) and highly statistical lysigni ficant resistant to Imipenam ( IMP) and E Col i is found to be highly statistical ly signi ficant sensi tive to Gentamycin(GM) and Ni t rofurantoin (FD) whi le Pseudomonas is highly statistical ly signi f icant sensi tive to Tobramycin and highlystatistical ly signi ficant resistant to CD,MEM, Minocycl in (MN) ,Vancomycin .MRSA is found to be highly statistical lysigni ficant sensi tive to to Trimethoprim/Sul famethoxazole (TS), Cl indamycin (CD) , Minocycl in (MN) , and Vancomycinwhi le the mix of Klebsiel la + Pseudomonas is highly statistical ly signi ficant sensi tive to Tobramycin.Conclusions: Gram negative bacteria are the most common mul tidrug resistant bacteria at long term care faci l i tymostly Proteus, the best antibiotics to use for proteus infections was Minocycl in (MN) then Meronam (MEM) thenImipenam (IMP).
Antibiotic susceptibi l i ty
mul ti drug resistant bacteria
long term car e faci l i ty
elderly residents
2017
03
01
1
5
https://ejgg.journals.ekb.eg/article_5345_69f5cc641e89c12af0f5f5f77734b560.pdf
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2356-8712
2017
4
1
Relation between Blood Pressure Control and Insulin Secretion Markers among Elderly Diabetic Females
Elsorady
KE
Taha
HM
Aly
WW
Mortagy
AK
Saad
WE
Background: Hypertension is a common condi tion among elderly individuals, of ten present concur rently wi thdiabetes or a part of metabol ic syndrome, and each can accelerate the progression of the other. The importance ofidenti fying the relation between blood pressure cont rol and i nsul in secretion abi l i ties is of utmost importance todecrease progression of vascular compl ications among diabetics.Aim: To identi fy the prevalence of hypertension and detect the relation between blood pressure cont rol and insul insecretion markers including C-peptide (CP) levels and C-peptide index (CPI ) among elderly diabetic femalesMethods: A cross sectional study conducted f rom the fi rst of October, 2014 to the end of March, 2016, where 163elderly diabetic females were recrui ted f rom the Inpatient wards of Ain shams universi ty hospi tal at that time. Theyunderwent careful history taking, blood pressure measurement and assessment of insul in secretion includingfasting serum C-peptide and CPI measurement in addi tion to assessment of glycemic cont rol b y fasting bloodsugar (FBS) estimation.Results: 82.8 % of our participants were hypertensives, 32.5% had uncont rol led systol ic blood pressure and33.7% had uncont rol led diastol ic blood pressure, there was statistical ly signi ficant di fference between uncon t rol ledand control led systol ic and diastol ic blood pressure as regard insul in secretion indicators including fasting serumCP level and CPI .Conclusions: Hyper tension is a common heal th problem among diabetic female geriat ric population, and i tspresence and even cont rol could be related to insul in secretion markers such as fasting serum C -peptide level andCPI value.
C-peptide index . insul in secretion in hypertensive elderly
2017
03
01
6
10
https://ejgg.journals.ekb.eg/article_5346_68b6cdc4937d20c31c06121c3099ec37.pdf
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2356-8712
2017
4
1
Thickened Common Femoral Artery Intima Media Thickness: a Surrogate Marker for Subclinical Peripheral Arterial Disease in Patients with Type 2 Diabetes Mellitus
Amer
MS
Omar
H
Mabrouk
R
Abdel
T
Rasheedy
D
Background: Thickening of ar terial wal l is an early indicator of atherosclerosis which is mostly a poly vasculardisease. Thickened carotid intima media thickness is now wel l accepted as a sur rogate marker for cardiovascular ,cerebrovascular , and peripheral vascular a ffection. Some data exists regarding the relationship between intima mediathickness of the common femoral artery as a predictor of di fferent vascular beds atherosclerosis..Aim: To evaluate the abi l i ty of common femoral artery intima media thickness to pr edict subcl inical peripheralar terial disease in elderly patients wi th type 2 diabetes mel l i tus.Methods: 60 elderly subjects wi th type 2 diabetes were examined for the presence of asymptomatic PAD. Al l wereassessed by measuring Common Femoral Artery Intima Media Thickness CFA IMT, ankle brachial index (ABI) .Results: The patients with reduced ABI (N=9) had greater CFA-IMT than those without (N=51). The correlationbetween CFA-IMT and ABI was highly significant. CFA IMT≥ 8.5 mm had an area under the curve of 0.962 (95% CI;0.917- 1.007, p = 0.000*) for predicting subclinical PAD in patients with type 2 diabetes.Conclusions: This data suggests that thickened CFA IMT is a signi ficant predictor of asymptomatic PAD in patien tswi th type 2 diabetes
Diabetes mel l i tus Thickened common femoral artery intima media thickness
PAD- elderly
2017
03
01
11
14
https://ejgg.journals.ekb.eg/article_5347_5b7ed0792cf735785399935e58760825.pdf
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2356-8712
2017
4
1
Malnutrition and its Relation to Food System among Elderly Home Male Residents in Cairo, Egypt
Sweed
HS
Mabrouk
RR
Kamel
HY
Jamil
MA
Background: Malnut ri tion in insti tutional ized elderly is of individual and publ ic co ncern since i t negatively affectsheal th outcome and qual i ty of l i fe and is often preventable. Assessing this problem is an impor tant step of theres i den ts ’ assessment to combat morbid sequences .Aim: Assessing the nut ri tional status and i ts association wi th the food system for male residents of elderly homesin Cai ro, Egypt .Methods: 200 male residents were randomly selected f rom 7 elderly homes in Cai ro. Data was col lected viaquestionnai res, including demographic characteristics, and past medical histor y. The MNA questionnai re was usedto gather information regarding nut ri tional risk. Focused dietary assessment and assessing the feeding system inthe elderly home using a questionnai re was performed.Results: Among the 200 participants, 17(8.5%) were maln our ished, 96 (48%) were at risk of malnut ri tion and 87(43.5%) were wel l nourished. The presence of ref rigerators and eating in dining room were signi ficantly associatedwi th good nut ri tional status.Conclusions: The high prevalence of nut ri tional risk mandates regular screening of elder ly home residents. Thiswi l l al low early nut ri tional intervention and timely prevent ion of fur ther nut ri tional and functional deterioration. Therelation between nutri tional risk and the food system requi res increased awaren ess of proper food systemcharacteristics in a residential care faci l i ty
Malnutrition in Elderly homes
residential care in Egypt
2017
03
01
15
18
https://ejgg.journals.ekb.eg/article_5348_47996e333815b2d17ecf005697301457.pdf
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2356-8712
2017
4
1
Spirometry Screening for Respiratory Obstruction in Asymptomatic Elderly
Sweed
HS
Taha
HM
Riad
M
E.
Abdelhamid
Background: Elderly people are especial ly prone to the adverse heal th ef fects of chronic obst ructive pulmonarydisease (COPD) , which is a common disorder in that population. Al though the prevalence and morbidi ty of COPDin the elderly are high, i t is of ten undiagnosed.Aim: To evaluate the prevalence of ai rway obst ruction among asymptomatic elderly.Methods: A cross sectional study was carried over a period of one year where 100 elderly patients aged 60 yearsand older were recrui ted f rom the outpatiens geriaric cl inic in Ain Shams Universi ty Hospi tal . Each patientunderwent detai led history taking including smoking history and medication review, detai led general medicalexamination and cogni tive assessment by Mini - mental status examination test. Elderly wi th a physiciandiagnosis of asthma, COPD or another chronic respi rato ry condi tion were excluded. Al l subjects completedspi romet ry testing to diagnose ai rway obst ruction. .Results: The sample included 100 participants wi th a mean age of 64.3±3.1years, 52% male and 48% female,mean body mass index was 29.3 ±1.5 and mean mini mental state examination 24.45± 2.3. As regard smoking61% never smoked. 9% ex -smoker and 30% current smoker . Spi rometery in the cur rent study demonst rated that72% had obst ructed ai rway disease (none of them were diagnosed previously to have chronic bron chi tis) classi fiedto mi ld, moderate and severe (35%, 33%, 4%) respectively.Conclusions: Spi romet ry screening of asymptomatic elderly may help detection of individuals wi th ai rwayobst ruction, who are at high risk of developing COPD. Addi tional data is n ecessary regarding the cl inical benefi tand cost -effective of screening before spi romet ry can be recommended in general practice. Background: Elderly people are especial ly prone to the adverse heal th ef fects of chronic obst ructive pulmonarydisease (COPD) , which is a common disorder in that population. Al though the prevalence and morbidi ty of COPDin the elderly are high, i t is of ten undiagnosed.Aim: To evaluate the prevalence of ai rway obst ruction among asymptomatic elderly.Methods: A cross sectional study was carried over a period of one year where 100 elderly patients aged 60 yearsand older were recrui ted f rom the outpatiens geriaric cl inic in Ain Shams Universi ty Hospi tal . Each patientunderwent detai led history taking including smoking history and medication review, detai led general medicalexamination and cogni tive assessment by Mini - mental status examination test. Elderly wi th a physiciandiagnosis of asthma, COPD or another chronic respi rato ry condi tion were excluded. Al l subjects completedspi romet ry testing to diagnose ai rway obst ruction. .Results: The sample included 100 participants wi th a mean age of 64.3±3.1years, 52% male and 48% female,mean body mass index was 29.3 ±1.5 and mean mini mental state examination 24.45± 2.3. As regard smoking61% never smoked. 9% ex -smoker and 30% current smoker . Spi rometery in the cur rent study demonst rated that72% had obst ructed ai rway disease (none of them were diagnosed previously to have chronic bron chi tis) classi fiedto mi ld, moderate and severe (35%, 33%, 4%) respectively.Conclusions: Spi romet ry screening of asymptomatic elderly may help detection of individuals wi th ai rwayobst ruction, who are at high risk of developing COPD. Addi tional data is n ecessary regarding the cl inical benefi tand cost -effective of screening before spi romet ry can be recommended in general practice.
Spi rometry
COPD
ai r way obstruction in elder ly
2017
03
01
19
23
https://ejgg.journals.ekb.eg/article_5349_0212ef4a4a353e212b10f57bcabb5822.pdf
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2356-8712
2017
4
1
A case of late Onset Systemic Lupus Erythematosus with severe myalgia
Mahmoud
HF
Late onset systemic lupus erythematosus (SLE) after 50 -year -old is rare. We repor t a case of A 60year-old woman referred to our hospi tal because of sever e myalgia and mi ld arthralgia together wi th pancytopeniawi thout other typical symptoms of systemic lupus erythematosus (SLE) . Posi tive di rect Coomb’s test revealed thatanemia had autoimmune hemolytic nature and suppression of reticulocyte production was considered a clue of aprocess of bone marrow suppression which have been involv ed in the etiology of pancytopenia. Posi tivi ty for Anti -dsDNA antibodies led us to the diagnosis of late-onset SLE and there was marked improvement after prednisoneadminist ration. As late-onset SLE is rare and patients tend to show the typical symptoms le ss f requently, closeattention should be focused on latent symptoms and immunological findings.
late-onset SLE
myalgia
pancytopenia
autoimmune disorders in elderly
2017
03
01
24
26
https://ejgg.journals.ekb.eg/article_5350_5e7d621eb73ccc3b56e169125b7ee1b1.pdf
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2356-8712
2017
4
1
Atypical presentation of hypercalcemia in elderly
Ali
SH
Background: Hypercalcemia is a common cl inical problem wi th an estimated pr evalence of 0.1% to 0.01% amonghospi tal ized patients and this can be ten times more in elder ly. T he a da ge, “s to nes , g r oans , b on es , an d ps y c hi a tri cov e rto nes ” i s o fte n us e d t o de s c ri b e t he s ym pto ms of hy p er p ar athy r oi di sm . Ho wev e r, 80% of el de rl y wi t h pri ma ryhyperparathyroidism present wi th asymptomatic or atypical hypercalcemia. We are classical ly taught that two mostcommon causes of hypercalcemia are mal ignancy and primary hyperparathyroidism (PHPT). Many case repor ts arepubl ished discussing the atypical presentation of hypercalcemia in elderly, meanwhi le, the review articlediscussing hypercalcemia in elderly is since 1988 (1) which also is the gold standard upon which, symptoms ofhypercalcemia in elderly are counted on and we can see that many cases are presented in a di fferent way now.This mini review includes case repor ts of atypical presentation of hypercalcemia in elderly aiming to establ ish anew sight about presentation in this age group.
missed
2017
03
01
27
32
https://ejgg.journals.ekb.eg/article_5351_3c7f2e8fb30baaadd20082709ca64895.pdf