Infections in People With Impaired Defenses

ByLarry M. Bush, MD, FACP, Charles E. Schmidt College of Medicine, Florida Atlantic University
Reviewed/Revised Jul 2024
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    Many disorders, medications, and other treatments can cause a breakdown in the body’s natural defenses. Such a breakdown can lead to infections, which can even be caused by microorganisms that normally live harmlessly on or in the body (resident flora). A breakdown can result from the following:

    • Extensive burns: Risk of infection is increased because damaged skin cannot prevent invasion by harmful microorganisms.

    • Medical procedures: During a procedure, foreign material may be introduced into the body, increasing the risk of infection. Such material includes catheters inserted into the urinary tract or a blood vessel, tubes inserted into the windpipe, and sutures placed under the skin.

    • Medications that suppress the immune system:

    • Radiation treatments: Such treatments may suppress the immune system, particularly when bone marrow is exposed to radiation.

    • Late-stage HIV infection: The ability to fight certain infections decreases dramatically in people with late-stage HIV infection. People with late-stage HIV infection are at particular risk of opportunistic infections (infections by microorganisms that generally do not cause infection in people with a healthy immune system). Also, many common infections cause people with late-stage HIV infection to become more severely ill.

    (See also Overview of Infectious Disease.)

    Spotlight on Aging: Infections

    Infections are more likely and usually more severe in older people than in younger people for several reasons:

    • Aging reduces the immune system’s effectiveness (see Effects of Aging).

    • Many long-term (chronic) disorders that are common among older adults—such as chronic obstructive pulmonary disease, cancer, and diabetes mellitus—also increase the risk of infection.

    • Older adults are more likely to be in a hospital or a nursing home, where the risk of acquiring a serious infection is greater. In hospitals, the widespread use of antibiotics allows antibiotic-resistant microorganisms to thrive, and infections with these microorganisms are often more difficult to treat than infections acquired at home or in the community (see Hospital-Acquired Infections).

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