Treatment compliance with European guidelines and prognosis of Clostridium difficile infection according to age.

Objective: Age>65 years is associated with the recurrence and poor prognosis of Clostridium difficile infection (CDI). Data on elderly patients (≥75 years) is scarce, and little is known about compliance with European guidelines in terms of specific treatment. We aimed to analyze the treatment and prognosis of CDI in two groups of patients aged View Article and Find Full Text PDF

[Decisional algorithm to prescribe vitamin K antagonist in geriatric patients with atrial fibrillation].

Preventing atrial fibrillation (AF) complications relies mainly on anticoagulant therapy. Still it is difficult to prescribe vitamin K antagonists (VKA) in geriatric patients with AF. In order to improve anticoagulation decision in this disease, we set up an algorithm.

[Vaccine coverage against influenza and pneumococcal infections in patients aged 65 and over: a survey on 299 outpatients].

Introduction: There is no compulsory vaccination in the adult population. Therefore, vaccine coverage appears heterogeneous.

Methods: We performed a 2-month survey to evaluate the vaccine coverage administered by 11 general practitioners in their patients aged 65 and over, with a focus on influenza vaccination recommended in France for individuals being 65 years old or more and on pneumococcal vaccination indicated but not recommended in the same age population; analysing the reasons for non vaccine administration against influenza and pneumococcal infections.

Usefulness of the short IQCODE for predicting postoperative delirium in elderly patients undergoing hip and knee replacement surgery.

Background/objective: The prevalence of postoperative delirium in elderly patients is >30%. The objective of this prospective study was to determine the usefulness of the short form of the Informant Questionnaire on COgnitive Decline in the Elderly (short IQCODE) to predict the occurrence of postoperative delirium after elective hip and knee arthroplasty in the elderly.

Methods: Consecutive patients, 60 years and older, who were admitted for elective hip or knee arthroplasty were included.

[Late diagnosis of Dandy-Walker syndrome revealed by gait disorders in an elderly].

The Dandy-Walker syndrome is a rare malformation usually diagnosed during pregnancy or early in the course of life. We report a case in an elderly hospitalised for gait disorders and recurrent falls. Cerebral MRI revealed hydrocephalus and posterior fossa cyst.