| Autor: |
Kong, Tak K., Dai, David L. K., Leung, Man F., Au, Si Y., Yung, Raymond, Chan, Ming H. |
| Předmět: |
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| Zdroj: |
Journal of the American Geriatrics Society; Aug2003, Vol. 51 Issue 8, p1182-1183, 2p |
| Abstrakt: |
In the era of severe acute respiratory syndrome (SARS), there has been much concern about the atypical features of SARS in elders, which has been described as invisible SARS and implicated as sources of outbreaks. The World Health Organization criteria for SARS have their limitations when applied to frail older adults, who tend to present with geriatric syndromes. SARS may not necessarily present with respiratory symptoms but may be associated with gastrointestinal symptoms such as diarrhea, nausea, or vomiting, which, in frail elderly persons, may mimic fecal incontinence and poor feeding. Elders with SARS often have an apparently lengthened incubation period of 14 to 21 days because of delayed detection of onset and inexact day of contact because of multiple exposures. The elderly are more vulnerable to the adverse drug reactions of ribavirin and high-dose corticosteroid commonly used to treat SARS, especially nosocomial infection. Undiagnosed SARS can result in outbreaks in healthcare workers and patients within hospital and nursing homes, which may lead to further outbreaks in the community. |
| Databáze: |
Complementary Index |
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