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
Ward 1 was opened on September 24. From that date until October 2 no
cubicles were in use and few precautions were taken against transfer of
infection. On October 2 cubicles were installed and ordinary precautions
to prevent transfer of infection were instituted. On October 6 the ward
was closed to further admissions. The data presented in Table XX are
divided into two periods, because on September 29 and 30, 4 patients
with streptococcus pneumonia were admitted to the ward.
TABLE XX
PNEUMONIA IN WARD 1
═══════╤════════╤════════╤═════════════╤═════════════════════════════════════
│AVERAGE │ NUMBER │TOTAL DEATHS │ CULTURES AT AUTOPSY
│ NUMBER │ OF │ AMONG │
│ OF │PATIENTS│ PATIENTS │
│PATIENTS│ADMITTED│ ADMITTED │
│IN WARD │ │ DURING THE │
│ │ │CORRESPONDING│
│ │ │ PERIOD │
───────┼────────┼────────┼──────┬──────┼────────────┬───────────┬────────────
„ │ „ │ „ │NUMBER│ PER │PNEUMOCOCCUS│ S. │UNDETERMINED
│ │ │ │ CENT │ │HEMOLYTICUS│(NO AUTOPSY)
───────┼────────┼────────┼──────┼──────┼────────────┼───────────┼────────────
Sept. │ 35.8│ 34│ 11│ 32.3│ 5│ 3│ 3
24–29 │ │ │ │ │ │ │
Sept. │ 55.3│ 40│ 24│ 60.0│ 6│ 14│ 4
30–Oct.│ │ │ │ │ │ │
5 │ │ │ │ │ │ │
───────┴────────┴────────┴──────┴──────┴────────────┴───────────┴────────────
During the first period from September 24 to 29 the ward contained an
average of 35.8 patients, being only moderately crowded; 34 cases of
pneumonia were admitted, of whom 11 died, a mortality of 32.3 per cent.
It is noteworthy that deaths among this group which occurred prior to
September 30 were due to pneumococcus infection with one exception, a
patient entering the ward on September 26 and dying the following day.
Of the other 2 patients in this group who died with hemolytic
streptococcus pneumonia, 1 was admitted to the ward on September 25, was
shown to be free from S. hemolyticus on September 30, and died on
October 12 with a secondarily acquired streptococcus pneumonia and
empyema; the other was admitted on September 29 with streptococcus
pneumonia and died the following day.
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