Pasteur, Louis, 1822-1895; Scientists -- France -- Biography
Dr. Tarnier, a student residing at the Maternité during that disastrous
time, related afterwards how the ignorance of the causes of puerperal
fever was such that he was sometimes called away, by one of his chiefs,
from some post-mortem business, to assist in the maternity wards; nobody
being struck by the thought of the infection which might thus be carried
from the theatre to the bed of the patient.
The discussion which arose in 1858 at the Académie de Médecine lasted
four months, and hypotheses of all kinds were brought forward. Trousseau
alone showed some prescience of the future by noticing an analogy
between infectious surgical accidents and infectious puerperal
accidents; the idea of a ferment even occurred to him. Years passed;
women of the lower classes looked upon the Maternité as the vestibule of
death. In 1864, 310 deaths occurred out of 1,350 confinement cases; in
1865, the hospital had to be closed. Works of cleansing and improvements
gave rise to a hope that the “epidemic genius” might be driven away.
“But, at the very beginning of 1866,” wrote Dr. Trélat, then
surgeon-in-chief at the Maternité, “the sanitary condition seemed
perturbed, the mortality rose in January, and in February we were
overwhelmed.” Twenty-eight deaths had occurred out of 103 cases.
Trélat enumerated various causes, bad ventilation, neighbouring wards,
etc., but where was the origin of the evil?
“Under the influence of causes which escape us,” wrote M. Léon Le Fort
about that time, “puerperal fever develops in a recently delivered
woman; she becomes a centre of infection, and, if that infection is
freely exercised, the epidemic is constituted.”
Tarnier, who took Trélat’s place at the Maternité, in 1867, had been for
eleven years so convinced of the infectious nature of puerperal fever
that he thought but of arresting the evil by every possible means of
defence, the first of which seemed to him isolation of the patients.
In 1874, Dr. Budin, then walking the hospitals, had noted in Edinburgh
the improvement due to antisepsis, thanks to Lister. Three or four years
later, in 1877 and 1878, after having seen that, in the various
maternity hospitals of Holland, Germany, Austria, Russia and Denmark,
antisepsis was practised with success, he brought his impressions with
him to Paris. Tarnier hastened to employ carbolic acid at the Maternité
with excellent results, and his assistant, M. Bar, tried sublimate.
While that new period of victory over fatal cases was beginning, Pasteur
came to the Académie de Médecine, having found, in certain puerperal
infections, a microbe in the shape of a chain or chaplet, which lent
itself very well to culture.
Public-domain text, read in full here on John Shaqi.
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