title: [Consensus guidelines for the management of community acquired pneumonia in the elderly patient].
abstract: The incidence of community-acquired pneumonia increases with age and is associated with an elevated morbidity and mortality due to the physiological changes associated with aging and a greater presence of chronic disease. Taking into account the importance of this disease from an epidemiological and prognostic point of view, and the enormous heterogeneity described in the clinical management of the elderly, we believe a specific consensus document regarding this patient profile is necessary. The purpose of the present work was to perform a review of the evidence related to the risk factors for the etiology, the clinical presentation, the management and the treatment of community-acquired pneumonia in elderly patients with the aim of producing a series of specific recommendations based on critical analysis of the literature. This document is the result of the collaboration of different specialists representing the Spanish Society of Emergency Medicine and Emergency Care (SEMES), the Spanish Society of Geriatrics and Gerontology (SEGG), the Spanish Society of Chemotherapy (SEQ), the Spanish Society of Internal Medicine (SEMI), the Spanish Society of Respiratory Medicine and Thoracic Surgery (SEPAR), Spanish Society of Home Hospitalization (SEHAD) and the Spanish Society of Infectious Disease and Clinical Microbiology (SEIMC).
authors.affiliation: Sociedad Española de Medicina de Urgencias y Emergencias.
authors.forename: Juan
authors.initials: J
authors.lastname: González Del Castillo
authors.affiliation: Sociedad Española de Geriatría. Electronic address: fjjms@hotmail.com.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Martín-Sánchez
authors.affiliation: Sociedad Española de Quimioterapia.
authors.forename: Pedro
authors.initials: P
authors.lastname: Llinares
authors.affiliation: Sociedad Española de Neumología y Cirugía Torácica.
authors.forename: Rosario
authors.initials: R
authors.lastname: Menéndez
authors.affiliation: Sociedad Española de Hospitalización a Domicilio.
authors.forename: Abel
authors.initials: A
authors.lastname: Mujal
authors.affiliation: Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica.
authors.forename: Enrique
authors.initials: E
authors.lastname: Navas
authors.affiliation: Sociedad Española de Medicina Interna.
authors.forename: José
authors.initials: J
authors.lastname: Barberán
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D015577:Geriatric Assessment; D006801:Humans; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D012307:Risk Factors
chemical_list: D000900:Anti-Bacterial Agents
keywords: Anciano; Elderly; Infección; Infectious disease; Neumonía; Pneumonia