XXXX in the elderly.

@entity1 @entity691 @entity295 @entity2268 @entity794 @entity281 @entity2259
Treatment of the elderly @entity1 can be significantly compromised by complications which are less troublesome in younger individuals. In the authors' experience this has been the case with septic @entity2268 secondary to intravenous infusion. Thirteen @entity1 over 65 years of age presented with septic @entity2268 during the course of hospitalization for a variety of diseases. All @entity281 occurred in an upper extremity site of @entity691 catheter insertion. Twenty-five per cent of @entity1 had proven @entity2259 and clinically recorded @entity295 , with @entity794 as the most common organism. Treatment consisted of either a full course of intravenous antibiotics or more commonly surgical therapy (either incision and drainage or resection of the involved vein). Three @entity1 required extensive procedures including muscle debridement and fasciotomy. The mean hospital stay of 19 days was largely related to @entity2268 and not primary disease. There was one mortality. Prevention of this condition by meticulous attention to sites of intravenous infusion and frequent changing of these sites rather than treatment after the fact provides the safest mode of @entity1 care.
