Assessing the elderly for strep pneumonia in older adults. Am J of Med. High resistance to ampicillin. Most authorities advocate withholding antibiotics in patients who are completely asymptomatic. Choose a single article, issue, or full-access subscription. Many factors contribute to increased mortality in the elderly, including comorbid conditions, an increase in the number of invasive procedures performed and decreased physiologic reserves. Vaccinated residents of long-term care facilities during confirmed outbreak: In addition, limiting the use of oral and parenteral vancomycin strep pneumonia in older adults help control the further spread of resistance. Want to use this article elsewhere? Older adults can benefit most from vaccination, early detection and aggressive therapy.