Infections in the Elderly: Prevention and Management, ESCMID Postgraduate Education Course

30 - 31 May 2013, Rome, Italy

  • ESCMID Study Group for Infections in the Elderly (ESGIE)
  • Infectious Diseases, Dept. of Internal Medicine I, Universitätsklinikum, Tübingen
Course Coordinators
  • Mical Paul, Haifa, Israel
  • Evelina Tacconelli, Tübingen, Germany
Course Objectives

Infections in the elderly have many implications that are underestimated. Many of the aspects of prevention and management of these infections have not been studied in sufficient detail. Infection remains the enemy of the aged and despite the aging of our population, infections are the main cause of morbidity and mortality. The treatment of infections in the elderly is complicated by multidrug resistance (MDR) caused by exposure to the health care system and by special considerations related to dosing and drug interactions. Long-term health care facilities serve as reservoirs for MDR bacteria that have implications for hospitals and for the community. Infection prevention and control is key to improving survival and quality of life of the elderly, while minimising spread of antibiotic resistance.

This course will address for the first time the special features of infections in the elderly. Top investigators in Europe will review the literature and discuss aspects of prevention and management of these infections. The first day will be devoted to surveillance and infection control in long-term health care facilities by reviewing the data available in Europe. On the second day the considerations surrounding the epidemiology, clinical presentation, management and outcomes of bacterial, viral and specific infections will be reviewed.

Throughout the course we will open the discussion to areas where data are missing and further research is needed. Participation of attendees will be encouraged through interactive case scenarios. The faculty represents 10 different countries in Europe and Middle East.

Course Venue

Hotel Ponte Sisto
Via dei Pettinari, 64
00186 Rome, Italy

Phone +39 066863100
Fax +39 0668301712

Target Audience

27 – 60 infectious disease clinicians and fellows, physicians working in geriatrics, infection control practitioners, nurses working in long-term health care facilities and geriatric wards.

Contact Person

Mical Paul, MD
Head, Unit of Infectious Diseases
Rambam Healthcare Campus
Professor, Sackler Faculty of Medicine
Tel-Aviv University, Israel

Phone +972 50 2062140
Fax +972 4 8541620

Administrative Secretariat

Giulia De Angelis, MD
Università Cattolica del Sacro Cuore
Istituto di Malattie Infettive
Largo F. Vito, 1
00168 Rome, Italy

Phone +39 0630155406
Fax +39 063054519

Maria Adriana Cataldo, MD, PhD
3rd Infectious Diseases Division
National Institute for Infectious Diseases
“Lazzaro Spallanzani”, IRCCS
Via Portuense, 292
00149 Rome, Italy

Phone +39 0655170280
Fax +39 0655170539

Course Programme

Presentations are availabe in the ESCMID Online Lecture Library.

Thursday, 30 May 2013

Day 1: Infection control in long-term health care facilities

  • Welcome

Definitions and performance measures

  • Surveillance and antibiotic usage. M. L. Moro
  • Definitions of infection in LTCFs. G. Gavazzi
  • National and local performance indicators for infection prevention and control in LTCF. B. Cookson

Prevention of infections

  • Infection control in LTCF. E. Tacconelli
  • Prevention of urinary, respiratory and digestive tract infections in LTCF.
    P. Retamar
  • The increase of MDRGN-colonised elderly population in the community.
    M. Tinelli
  • Antimicrobial stewardship in LTCFs. N. Benzonana

Viral infections

  • Antimicrobials’ PK and adverse events in the elderly. F. Pea
  • Case scenario for discussion. M. Paul

Friday, 31 May 2013

Day 2: Management of infections in the elderly

Incidence of bacterial infections and sepsis management

  • Risk factors for infection in the elderly. M. A. Cataldo
  • Incidence, prevalence and burden of infections in the elderly. G. De Angelis
  • Urinary tract infection in the elderly. R. Cauda
  • Sepsis presentation in the elderly. M. Paul

Viral infections

  • Influenza in the elderly. L. Pagani
  • Vaccination indications and limits in the elderly. M. Poljak
  • HIV in the elderly. C. Mussini

Special considerations in the elderly

  • Abdominal infections in the elderly: the surgeon’s point of view. G. Sganga
  • Why does CDI hit the elderly? High relapse- and fatality rates in a vulnerable patient group. M. Hell
  • The elderly patient in the ICU. N. Petrosillo
  • Ethical considerations of antibiotic treatment in patients with dementia and at end of life. L. Leibovici

Focus on needed research in the elderly

  • Needed research. E. Tacconelli & M. Paul
  • Closing remarks and goodbye
Faculty Members
  • Nur Benzonana, Istanbul, Turkey
  • Maria Adriana Cataldo, Rome, Italy
  • Roberto Cauda, Rome, Italy
  • Barry Cookson, London, United Kingdom
  • Giulia De Angelis, Rome, Italy
  • Gaetan Gavazzi, Grenoble, France
  • Markus Hell, Salzburg, Austria
  • Leonard Leibovici, Petah Tikva, Israel
  • Maria Luisa Moro, Bologna, Italy
  • Cristina Mussini, Modena, Italy
  • Leonardo Pagani, Geneva, Switzerland
  • Mical Paul, Haifa, Israel
  • Federico Pea, Udine, Italy
  • Nicola Petrosillo, Rome, Italy
  • Mario Poljak, Ljubljana, Slovenia
  • Pilar Retamar, Seville, Spain
  • Gabriele Sganga, Rome, Italy
  • Evelina Tacconelli, Tübingen, Germany
  • Marco Tinelli, Lodi, Italy