Adult
LRTI + functional decline
Frailty Syndrome with functional decline and suspected LRTI
Frailty syndromes are common presentations to hospital and may involve falls, immobility, delirium and incontinence. The causes of functional decline in patients with frailty are numerous and can include drug adverse effects, metabolic or organ dysfunction, cerebral vascular events and infection.
Many patients with frailty presenting to the hospital are not suffering from an infection and can safely be observed after performing a septic screen without commencing antibiotics. Patients with clear evidence of sepsis should have prompt commencement of antibiotics Sepsis Identification and Management
Treat for 3 days
Preferred
amoxicillin 500mg po tds
Alternative
For penicillin allergy, non-severe or severe:
doxycycline 100mg po bd
Frailty syndromes
- Clinical Frailty Scale see HERE
- See British Geriatric Society Frailty: what's it all about?
- See NHS Rightcare: Frailty Toolkit