NFECTIONS, PARTICULARLY RESPIRAtory tract infections, are common in elderly individuals, resulting in decreased daily activity, prolonged recovery times, increased health care service use, and more frequent complications, including death. [1][2][3][4][5][6][7][8][9][10][11] In the United States, an estimated 43% of elderly persons will be admitted to a nursing home, with more than 85% of them admitted to long-term (Ͼ1 year) care facilities. 12 Infections occur more frequently in nursing home residents than among independent-living elderly, 2-10,13 and respiratory tract infections are a major cause of morbidity and mortality. 9,14,15 Contributing to the increased incidence of infection with age is the well-described decline in immune response. 16 For example, those who have diminished delayed-type hypersensitivity skin test responses have higher morbidity and mortality from cancer, pneumonia, and postoperative complications. [17][18][19] Nutritional status is an important determinant of immune function. 20,21 Nutritional supplementation has been shown to enhance the immune response in older persons. 22,23 In our earlier pla-Author Affiliations are listed at the end of this article.