Clinicians involved in caring for institutionalized elderly frequently must
treat common infections endemic to the setting. Numerous factors specific
to these patients make accurate diagnosis and management more difficult tha
n in healthy ambulatory adults. Three infections are commonly encountered i
n residents of long-term care facilities: bacterial pneumonia, urinary trac
t infections, and skin and soft tissue infections. More antimicrobial agent
s are available now than ever before; therefore, judicious administration o
f drugs and familiarity with current treatment recommendations are imperati
ve.