The Fundamentals of BacteriologyMorrey, Charles Bradfield
Science
The Fundamentals of Bacteriology
Morrey, Charles Bradfield
Bacteriology
=Lipovaccines.=--The suspension of bacteria in neutral oil was first
used by Le Moignac and Pinoy who gave the name “lipovaccines” (λιπος
= fat) to them. It was claimed that the reaction following injection
of these vaccines was less severe than with saline vaccines in many
instances; also, that the bacteria were much more slowly absorbed. For
these two reasons it was hoped that much larger numbers of bacteria
could be injected at one dose and one injection would suffice instead
of three or more as ordinarily used. The technique of preparation,
standardization and killing of the organisms has not as yet been
sufficiently well established to warrant the general substitution of
lipovaccines for ordinary saline suspensions.
Vaccines are either “_autogenous_” or “_stock_.” An “autogenous”
vaccine is a vaccine that is made from bacteria derived from the
individual or animal which it is desired to vaccinate and contains
not only the particular organism but the particular strain of that
organism which is responsible for the lesion. Stock vaccines are
made up from organisms like the infective agent in a given case but
derived from some other person or animal or from laboratory cultures.
Commercial vaccines are “stock” vaccines and are usually “polyvalent”
or even “mixed.” A “polyvalent” vaccine contains several strains of the
infective agent and a “mixed” contains several different organisms.
Stock vaccines have shown their value when used as preventive
inoculations, notably so in typhoid fever in man, anthrax and black-leg
in cattle. The author is strongly of the opinion, not only from the
extended literature on the subject, but also from his own experience
in animal, and especially in human cases, that stock vaccines are
much inferior and much more uncertain in their action when used in
the _treatment_ of an infection, than are autogenous vaccines. This
applies particularly to those instances in which _pneumococci_,
_streptococci_, _micrococci_, and _colon bacilli_ are the causative
agents but to others as well. The following are some of the reasons for
this opinion: The above organisms are notoriously extremely variable in
their virulence. While there is no necessarily close connection between
virulence and antigenic property, yet since virulence is so variable,
it is rational to assume that antigenic property is also extremely
variable. Individuals vary just as much in susceptibility and hence in
reactive power, and generally speaking, an individual will react better
in the production of antibodies to a stimulus to which he has been more
or less subjected, _i.e._, to organisms derived from his own body.
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