Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
+Immunity.+ To be able to resist the invasion of any species of
bacteria, one is said to be refractory to or immune against that
variety of germs.
Serum therapy is based on the demonstrated fact of immunity, and of
the possibility of producing it by injecting the serum of immunized
animals. In many infectious diseases, one attack protects an
individual for a lifetime and one form of disease may protect against
even a more virulent form, as vaccination protects against smallpox.
It is a fact that if the serum of an animal which has been rendered
immune to a certain disease be injected into a susceptible animal, the
same immunity can be produced temporarily in the second animal. Serum
therapy proves that the injected serum will not only confer immunity
against the infection, but will enable the animal to throw off an
already existing infection.
+Sterilization.+ The question how to destroy microorganisms is one of
the most important in bacteriology. Exactly how chemical antiseptics
act in suspending the growth in living organisms and yet leaving them
capable of restoration, is not understood. The explanation is offered
that the antiseptics enter into combination with the capsule of the
cell and can be freed from it by breaking up this chemical
combination. It has always been evident that very minute quantities of
germicidal substances, and some substances which are not germicidal,
would prevent the growth of bacteria, so that it is not surprising
that chemical disinfectants should act in this prolonged inhibitory
way. It must be remembered that in operative surgical work, germs
which will not develop are, for practical purposes, as good as dead;
therefore such results do not invalidate the present methods of
sterilization for operations. They naturally stimulate interest in the
discovery of better methods of sterilization and especially in the
thorough application of the methods upon which we are now depending,
in order to obtain the best possible results from them. There are
three ways of destroying microorganisms: (1) by deprivation of food
and water, (2) by chemicals (including toxins), (3) by heat.
+Chemical Antiseptics.+ For practical disinfection, chemicals and heat
need only concern us. The power of these substances is greatly
decreased by heat, grease, oil, mucus, and even blood will cover germs
with a coating which prevents chemical germicides from reaching them.
Among the ordinary germicides, bichloride of mercury, iodin, alcohol
and carbolic acid, are of the greatest importance. A source of error
in the direct application of these experiments is the fact that many
of these chemicals are decomposed or rendered inert, by combinations
with the albuminoids of blood and pus, mercuric bichloride being
transformed into an indifferent substance and even carbolic acid being
altered.
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