Commonly Prescribed Heartburn Drug Linked to Pneumonia in Older Adults

Journal of the American Geriatrics Society Research Summary

Researchers at the University of Exeter have found a statistical link between pneumonia in older people and a group of medicines commonly used to neutralize stomach acid in people with heartburn or stomach ulcers. Although proton-pump inhibitors (PPIs) are still a valuable group of medicines, research is indicating that PPIs are not as completely safe for older people as previously thought.

PPIs are medicines commonly prescribed to reduce gastric (stomach) acid production and to protect the stomach. Approximately 40 percent of older adults receive PPIs, although according to some experts, up to 85 percent of people who receive PPI prescriptions may not need them.

Researchers say people should not stop using their PPI medication, but should discuss with their prescribing healthcare professional whether the PPIs are still needed. Just stopping PPIs could be dangerous as PPIs may be useful, for example, to prevent stomach bleeds in some people.

Once thought to be relatively harmless, PPIs have more recently been linked to increased rates for certain health concerns like fractures, cardiovascular disease, and some bacterial infections. The association between PPI use and pneumonia was studied because stomach acid helps to prevent infections spreading from the gut in some individuals. Since pneumonia is a major cause of death for older adults, it is important for healthcare providers to understand the links between PPIs and pneumonia.

The Exeter team designed a study to look at statistical links in medical records between long-term PPI use and pneumonia in older adults. Their study was published in the Journal of the American Geriatrics Society. Continue reading

Prevent Pneumonia – Get Vaccinated!

Shah headshotKrupa Shah, MD, MPH
Assistant Professor
University of Rochester School of Medicine & Dentistry

Most people are aware of the flu vaccine. Fewer know that there is another important vaccine available – to prevent pneumonia. Pneumonia is an infection and inflammation of the lungs. There is a high rate of sickness, hospitalization, and death associated with pneumonia in older adults who are 65 years old or above.

We’ve reviewed how to prevent pneumonia before, but here is some more information on why older adults should consider getting vaccinated as a way to prevent pneumonia.

Vaccines to prevent pneumonia are called pneumococcal vaccines. These vaccines can prevent or reduce the severity of pneumococcal pneumonia, a very common cause of bacterial pneumonia.

Two types of pneumococcal vaccines are currently available to prevent pneumonia in older adults.

  • Pneumococcal Conjugate Vaccine (PCV13 or Prevnar 13®) and
  • Pneumococcal Polysaccharide Vaccine (PPSV23 or Pneumovax®)

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Tips on Preventing Pneumonia in Older Adults

Shah headshot

Krupa Shah, MD, MPH
Assistant Professor
University of Rochester School of Medicine & Dentistry

 

 

 

 

What is Pneumonia?

Pneumonia is an infection that causes inflammation of the lungs.

Why Should Older Adults be Aware of Pneumonia?

Older adults are more likely to have pneumonia than younger people. The chances of having both disability and disease increases with age, and which also increases the risk of getting pneumonia.

Research has shown that there is a high rate of sickness, hospitalization, and death associated with pneumonia in older adults. In fact, the majority of all deaths from pneumonia occur in people who are above the age of 65 years.

Let’s be informed!

Below are some proactive steps that you can take to prevent yourself or a loved one from getting pneumonia.

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