fa علل بستری‌شدن و یافته‌های بالینی شایع در سالمندان بستری‌شده در بخش عفونی بیمارستان ولی‌عصر(عج) بیرجند (سال 89-1388) General پژوهشي Research Article <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><strong>Background and Aim: </strong>The elderly form a large sector ssof the human population worldwide. Aging is a risk factor for morbidity and mortality and infectious diseases are among the important causes of morbidity and mortality in this group. The present study aimed at determining the reasons for the hospitalization of the elderly in the infection wards and type and prevalence of the infections which necessitated their hospitalization.<br> <strong>Materials and Methods: </strong>In this descriptive analytical Cross-sectional study 350 patients (&ge;65 yrs) that were admitted to infectious diseases ward of Vali-e-Asr hospital were evaluated. By using questionnaire personal information, the first and ultimate diagnosis of the disease, and characteristics and remedial knowledge of the patients (including the history of previous and contemporary diseases, history of hospitalization, and recent medicines taken) was gathered. The obtained data was analysed by means of SPSS software (version 13) and the statistical Chi-square test at the significant level P<0.05.<br> <strong>Results: </strong>40% of these patients had a previous hospital admission history and 60% of them had been admitted to the hospital for the first time. 56.5% of patients had a history of underlying disease(s), the most common reason of which was hypertension (38.4%). The most common complaints of patients were coughing and dyspnea with abdominal pain. The most common primary diagnosis was pneumonia (27.1%) and as a final diagnosis pneumonia was the most frequent one (52%). A significant difference in the frequency of the final diagnosis in different seasons was observed. The most frequent diagnosis in the spring, autumn and winter was pneumonia and gastroenteritis was the most common final diagnosis reported in summer.<br> <strong>Conclusion:</strong> Infections in the elderly require a comprehensive review of the previous history of hospitalization and comorbidities. More attention to specific organs including the respiratory, gasterointestinal and urinary tract as the most common organs involved in the diseases in the elderly can help physicians to diagnose the causes of infections in this group more rapidly.</span></span></div> ged,Infection,Patient Admission,Hospitalization 205 211 http://mcj.bums.ac.ir/browse.php?a_code=A-10-1-532&slc_lang=fa&sid=1 Masood Ziaee مسعود ضیائی No Associated Professor, Department of Infectious Diseases and the Member of Infectious Diseases and Tropical Medicine Research Center, Birjand University of Medical Sciences. Birjand, Iran دانشیار بیماری های عفونی، گروه بیماری های داخلی و عضو مرکز تحقیقات بیماری های عفونی و گرمسیری دانشگاه علوم بیرجند، ایران Gholamreza Sharifzadeh غلامرضا شریف‌زاده No Instructor, Department of Public Health, Birjand University of Medical Sciences. Birjand, Iran عضو هیات علمی دانشکده پزشکی و عضو مرکز تحقیقات سلامت خانواده و جامعه دانشگاه علوم پزشکی بیرج Jamal Mirzaei جمال میرزائی Yes Infectious Diseases Specialist, Military University of Medical Sciences, Tehran, Iran. Email: mirzaei@dr.com متخصص بیماریهای عفونی، بیرجند، ایران. تلفن: 09155115322 پست الکترونیک: mirzaei@dr.com Laleh Lotfi لاله لطفی No Physician, Birjand University of Medical Sciences, Birjand, Iran پزشک عمومی، دانشگاه علوم پزشکی بیرجند، ایران