Peddie.--The five or six cases of Dr. Sidey, followed by the four
of Dr. Simpson, did not end the series. A practitioner in Leith
having examined in Dr. Simpson's house, a portion of the uterus
obtained from one of the patients, had immediately afterwards
three fatal cases of puerperal fever. Dr. Peddie referred to two
distinct series of consecutive cases in his own practice. He had
since taken precautions, and not met with any such cases. Am.
Jour. Med October, 1851.
Copland.--Considers it proved that puerperal fever may be
propagated by the hands and the clothes, or either, of a third
person, the bed-clothes or body-clothes of a patient. Mentions a
new series of cases, one of which he saw, with the practitioner
who had attended them. She was THE SIXTH he had had within a few
days. ALL DIED. Dr. Copland insisted that contagion had caused
these cases; advised precautionary measures, and the practitioner
had no other cases for a considerable time. Considers it
CRIMINAL, after the evidence adduced,--which be could have
quadrupled,--and the weight of authority brought forward, for a
practitioner to be the medium of transmitting contagion and death
to his patients. Dr. Copland lays down rules similar to those
suggested by myself, and is therefore entitled to the same
epithet for so doing. Medical Dictionary, New York, 1853.
Article, Puerperal States and Diseases.
If there is any appetite for facts so craving as to be yet
unappeased,--lassata, necdum satiata,--more can be obtained. Dr.
Hodge remarks that "the frequency and importance of this singular
circumstance that the disease is occasionally more prevalent
with one practitioner than another, has been exceedingly
overrated." More than thirty strings of cases, more than two
hundred and fifty sufferers from puerperal fever, more than one
hundred and thirty deaths, appear as the results of a sparing
estimate of such among the facts I have gleaned as could be
numerically valued. These facts constitute, we may take it for
granted, but a small fraction of those that have actually
occurred. The number of them might be greater, but "'t is enough,
't will serve," in Mercutio's modest phrase, so far as frequency
is concerned. For a just estimate of the importance of the
singular circumstance, it might be proper to consult the languid
survivors, the widowed husbands, and the motherless children, as
well as "the unfortunate accoucheur."
ON THE ANTISEPTIC PRINCIPLE OF THE PRACTICE OF SURGERY
BY
JOSEPH LISTER
INTRODUCTORY NOTE
Public-domain text, read in full here on John Shaqi.
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