The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888Various
Science
The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888
Various
Medicine -- Periodicals
Laplace has shown the importance of acidulating sublimate solutions for
general antiseptic use. Neutral solutions on mingling with blood or
other albuminous fluids become more or less inert by the precipitation
of the albuminate of mercury. That precipitate is not formed in the
presence of hydrochloric or tartaric acids. The proportion for
sterilizing wounds should be five parts of the acid to one of the
sublimate in one thousand of water. [Biniodide solutions require no
acid. This is one of the many advantages of the mercuric iodide over the
bichloride for antiseptic use. In a series of experiments made for the
purpose of determining the reaction of biniodide solutions on albuminous
fluids we found that neutral solutions of the biniodide of mercury yield
no precipitate with albuminous fluids. No reaction was obtained with a
biniodide solution acidulated with hydrochloric acid in the proportion
of five parts to the thousand. The addition of organic acids, such as
acetic, citric or tartaric, as is well known, causes a precipitate of
albuminate of mercury. There is no chemical incompatibility between
sublimate soap and biniodide solutions.]
TRICHLORIDE OF IODINE.
One of the new antiseptic agents is iodine trichloride. In contact with
organic bodies it gives off iodine and chlorine in the nascent state.
The final products, moreover, hydrochloric and iodic acids, are well
known oxidizing agents. The strength of solution used is one part in
1,000 or one in 500 parts of water. Such a solution is equivalent in
sterilizing power to a 1:1,000 or 2,000 sublimate solution. [One
disadvantage of this antiseptic is the powerful corrosive action of
nascent chlorine and iodine upon metal instruments.]
DANGERS OF ANTISEPTICS.
Senger (Br. M. J., May 19, 1888,) has proved by experiments on dogs and
rabbits that the antiseptic agents commonly employed are liable to cause
degeneration of the kidneys. He injected into perfectly healthy animals
corrosive sublimate, carbolic acid, etc., in one-twelfth the quantity
necessary to kill them. Then on extirpation of one kidney he found in
all cases, on microscopical examination, glomerulo-nephritis. He also
found fatty degeneration of the liver, spleen, the heart-muscle, etc.
The various antiseptic agents were found to be injurious in different
degrees, corrosive sublimate being the most dangerous, then the others
in the following order: iodoform, carbolic acid, salicylic acid, boric
acid. These observations especially enforce the importance of avoiding
the use of antiseptics in the abdominal cavity, or in other large
cavities under conditions favorable to absorption. Sterilized water or a
five per cent. chloride of sodium solution should be substituted for use
in the peritoneum. Senger has shown that the salt solution in no way
injures the organs, and that it possesses moderate antiseptic power,
killing the streptococcus pyogenes aureus in twenty-eight minutes.
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