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Biomedical subjects

E Marshall

Publications and source records attributed to E Marshall.

At least 505 records · Page 28Linked to original sources

The placental transfer of ampicillin.

Cord blood ampicillin levels were assayed in 23 neonates whose mothers received the antibiotic by the obstetrical service. The levels ranged from 2.9 to 36.2 micrograms/ml. Nineteen (82.6%) of the 23 had a serum ampicillin level in excess of 5 micrograms/ml at delivery, which is significantly greater than the minimal inhibitory concentration (MIC) to inhibit ampicillin-sensitive enterobacteriacae and far exceeds the MIC for Group B beta-hemolytic streptococci. Antenatal ampicillin therapy results in significant levels in the neonate that may obscure cultures obtained after delivery.

Ampicillin↗

Infection-induced immunosuppression in pyelonephritis: characteristics of the suppressor cell(s).

Infection-induced suppressor cells may be associated with a depression of cell-mediated immune (CMI) mechanisms in pyelonephritis. In the present study, cell viability and cell to cell contact were established as prerequisites for immunosuppression and the role of mononuclear phagocytic cells and polymorphonuclear leukocytes, as immunoregulatory cells affecting CMI, was also examined. Fractionation of spleen cell suspensions was carried out using carbonyl iron, nylon wool, glass beads, and sephadex. These procedures restored mitogenic responsiveness to splenic lymphocytes from pyelonephritic animals, and it was possible to isolate cells with accessory and suppressor activity from nylon wool columns. Elutable cells (that is, cells which adhere to the column but could be recovered by the addition of EDTA) were characteristically accessory cells and increased the mitogenic responsiveness of normal lymphocytes. Adherent splenocytes which suppress mitogenic responses were isolated from pyelonephritic animals. Additionally, neutrophils, at concentrations readily demonstrable in lesions, depressed CMI responses in vitro. With this information available it should now be possible to carry out a detailed analysis of the cellular mechanism by which CMI in renal infection is depressed.

Animals↗