Chapter 19. Pneumonia in the Elderly

  1. Stephen Jackson Professor of Geriatric Medicine3,
  2. Paul Jansen4 and
  3. Arduino Mangoni5
  1. Peter A. Frith1 and
  2. Karin S. Nyfort-Hansen2

Published Online: 2 APR 2009

DOI: 10.1002/9780470017975.ch19

Prescribing for Elderly Patients

Prescribing for Elderly Patients

How to Cite

Frith, P. A. and Nyfort-Hansen, K. S. (2009) Pneumonia in the Elderly, in Prescribing for Elderly Patients (eds S. Jackson, P. Jansen and A. Mangoni), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470017975.ch19

Editor Information

  1. 3

    Department of Clinical Gerontology, King's College Hospital, London, UK

  2. 4

    Department of Geriatric Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands

  3. 5

    Department of Clinical Pharmacology, Flinders University, Flinders Medical Centre, Adelaide, Australia

Author Information

  1. 1

    Flinders University of South Australia, Southern Adelaide Health Service, Repatriation General Hospital, Adelaide, Australia

  2. 2

    Pharmacy Department, Repatriation General Hospital, Adelaide, Australia

Publication History

  1. Published Online: 2 APR 2009
  2. Published Print: 27 MAY 2009

ISBN Information

Print ISBN: 9780470024287

Online ISBN: 9780470017975



  • pneumonia in elderly;
  • community acquired (CAP) and hospital acquired (HAP) pneumonia;
  • “gold standard” confirming pneumonia - plain chest X-ray;
  • chest X-ray infiltrates, and Apache Score ≥ 22 (27, 28);
  • choice of antibiotic for CAP - local antibiotic sensitivity patterns;
  • important considerations for drug usage;
  • empirical antibiotic therapy for aspiration pneumonia;
  • CURB-65 criteria for CAP severity;
  • pneumococcal vaccination in severity of infection in elderly


This chapter contains sections titled:

  • Introduction

  • Epidemiology

  • Aetiology and pathogenesis

  • Symptoms and signs

  • Diagnosis

  • Patient assessment

  • Therapy

  • Important considerations for drug usage

  • Prevention

  • References