Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measlesOpie, Eugene L. (Eugene Lindsay)
History
Epidemic Respiratory Disease: The pneumonias and other infections of the repiratory tract accompanying influenza and measles
This practice was discontinued as impractical when it became apparent
that about 80 per cent of patients with measles would be found positive
for B. influenzæ when repeated throat cultures were made during their
hospital treatment. The dissemination of B. influenzæ through the wards
from which we were attempting to exclude it took place much faster than
we could follow its spread by cultural methods. When this became
evident, the practice of separating the two groups of patients with
reference to B. influenzæ was discontinued and the great inconvenience
of repeated transfer of patients was largely eliminated.
Table LX gives the findings in 426 cases of measles cultured for B.
influenzæ during the period when the practice of separating measles
patients carrying B. influenzæ from those not carrying the organisms was
followed.
TABLE LX
RESULTS OF REPEATED THROAT CULTURES FOR B. INFLUENZÆ ON 426 CASES OF
MEASLES, CAMP PIKE, SEPT. 15 TO OCT. 20, 1918.
═══════════╤════════╤═════════╤═════════════════════════════════════
│ │ │
│ │ │
│ │GROUP NO.│
│ TOTAL │NEGATIVE │
GROUPS │ NUMBER │ FOR B. │ RESULTS OF CULTURES TO DATE
│CULTURED│INFLUENZÆ│
│IN GROUP│ ON │
│ │ADMISSION│
│ │ │
│ │ │
───────────┼────────┼─────────┼───────┬───────┬───────┬───────┬─────
│ │ │ │ │ │ │ NO.
„ │ „ │ „ │ 1ST │ 2ND │ 3RD │ 4TH │ IN
│ │ │CULTURE│CULTURE│CULTURE│CULTURE│EACH
│ │ │ │ │ │ │CLASS
───────────┼────────┼─────────┼───────┼───────┼───────┼───────┼─────
I │ │ │ │ │ │ │
1st culture│ │ │ │ │ │ │
on │ 426│ ——│ − │ │ │ │ 274
admission│ │ │ │ │ │ │
„ │ „ │ „ │ + │ │ │ │ 152
───────────┼────────┼─────────┼───────┼───────┼───────┼───────┼─────
II │ │ │ │ │ │ │
1st and 2nd│ │ │ │ │ │ │
culture, │ │ │ │ │ │ │
after one│ 201│ 143│ − │ − │ │ │ 75
week in │ │ │ │ │ │ │
hospital │ │ │ │ │ │ │
„ │ „ │ „ │ − │ + │ │ │ 68
„ │ „ │ „ │ + │ + │ │ │ 29
„ │ „ │ „ │ + │ − │ │ │ 29
───────────┼────────┼─────────┼───────┼───────┼───────┼───────┼─────
III │ │ │ │ │ │ │
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