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June 2010, Volume 40 Number 6 , p 60 - 60


  • Steven J. Schweon MPH, MSN, RN, CIC, HEM


MR. STEIN, 71, is confined to a wheelchair in a long-term-care (LTC) facility. Twice in the last 24 hours he's found lying on the floor. He didn't sustain any injuries, he denies pain or discomfort, and his vital signs are stable. However, he's had an acute change in mentation, and is now incontinent of both urine and feces. The staff suspects an infection.Older adults like Mr. Stein are at risk for potentially life-threatening infections due to age-related physiologic changes in the immune, respiratory, urinary, and gastrointestinal systems. The risk increases in those with comorbid diseases, functional impairment, malnutrition, hospitalization, and invasive devices.1,2This article focuses on assessment and interventions for <i>Salmonella arizonae</i>, an uncommon but potentially serious cause of urinary tract infection (UTI).As in Mr. Stein's case, an acute change in functional or cognitive status may indicate infection. Older adults may not present with classic UTI signs and

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