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
The foregoing statements are based on results obtained in an attempt to
separate streptococcus carriers from noncarriers in a limited group of
cases of influenza at Camp Pike, the investigation being conducted
during a secondary wave of influenza between November 27 and December 5.
A special group of five wards consisting of one receiving ward and four
distributing wards were set aside for the study. Cubicles, masks and
gowns were in use and the wards were not crowded. The personnel on these
wards did not carry S. hemolyticus in their throats. Patients entering
the receiving ward were assigned to beds in rotation. Throat cultures
were made on blood agar plates at time of admission. The plates were
examined promptly the next morning, the diagnosis of S. hemolyticus
being made by the characteristic hemolytic colonies and microscopic
examination of stained smears. By this method a report reached the
receiving ward at 9:30 a.m. and patients were promptly evacuated to the
streptococcus and nonstreptococcus wards, where they were again assigned
to beds in rotation, remaining confined in bed until convalescent.
Confirmation of all strains of hemolytic streptococcus was subsequently
carried out by isolation in pure culture, bile solubility test, and
hemolytic test with washed sheep corpuscles. All cases free from
hemolytic streptococci at time of admission who were sent to the “clean”
wards were recultured daily throughout the period of study, those
acquiring a hemolytic streptococcus being transferred to a streptococcus
ward as soon as the bacteriologic diagnosis was made. The results are
shown in Table XXVI.
TABLE XXVI
S. HEMOLYTICUS IN CASES OF INFLUENZA
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