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Biomedical subjects

L V Holdeman

Publications and source records attributed to L V Holdeman.

53 records · Page 3Linked to original sources

Sinusitis of the maxillary antrum.

Twenty-four adults with clinical evidence of sinusitis were studied by 65 needle punctures of the maxillary antrum. Fourteen of 15 sinuses with normal transillumination and 19 of 26 that were dull had normal aspirates, whereas 24 of 24 that were opaque had abnormal aspirates (P less than 0.001). Marked mucosal thickening as determined radiologically (Water's view) was associated with abnormal aspirates whereas lesser mucosal thickening was not (P less than 0.001). In acute sinusitis, there was a strong correlation between high aspirate leukocyte counts (greater than 1000 per cubic millimeter) and infection as manifested by bacterial titers of greater than 10(5) per milliliter or the isolation of virus fungus (P greater than 0.001). Anterior-nasal-swab cultures correlated poorly with direct aspirate culters. Organisms frequently recovered from the sinus included Haemophilus influenzae, Strepto coccus pneumoniae, and anaerobic bacteria. Rhinovirus was recovered twice. Antibiotics were usedful in patients with acute sinusitis if the organism was sensitive in vitro (P less than 0.001).

Acute Disease↗

Obligately anaerobic strains of Corynebacterium vaginale (Haemophilus vaginalis).

Six obligately anaerobic strains of Corynebacterium vaginale (Haemophilus vaginalis) have been isolated and their characteristics studied. The reactions of the anaerobic strains, as well as of facultative strains tested under anaerobic conditions, are similar to the reactions previously reported for this species.

Anaerobiosis↗

Human fecal flora: the normal flora of 20 Japanese-Hawaiians.

Quantitative and qualitative examination of the fecal flora of 20 clinically healthy Japanese-Hawaiian males was carried out by using anaerobic tube culture techniques. Cultural counts were 93% of the microscopic clump counts. Isolated colonies were selected in a randomized manner to give an unbiased sampling of the viable bacterial types. Each isolate was characterized for species identification. From a total of 1,147 isolates, 113 distinct types of organisms were observed. Statistical estimates indicate that these types account for 94% of the viable cells in the feces. The quantitative composition of the flora of this group of people, together with differential characteristics of previously unreported species, is presented for those kinds of bacteria which each represented at least 0.05% of the flora.

Anaerobiosis↗

Isolation of ureolytic Peptostreptococcus productus from feces using defined medium; failure of common urease tests.

Colony counts of fecal samples from three persons, obtained by using a chemically defined anaerobic roll-tube medium (containing glucose, maltose, glycerol, minerals, hemin, B-vitamins, methionine, volatile fatty acids, sulfide, bicarbonate, agar, carbon dioxide (gas phase), and 1 mM NH(4) (+) as main nitrogen source), averaged 60% of the 8.8 x 10(10) bacteria per g obtained when 0.2% Trypticase and 0.05% yeast extract were added to the otherwise identical medium. When 0.2% vitamin-free Casitone replaced Trypticase and yeast extract, counts were 94% those of the more complex medium. When urea-nitrogen was added to the defined medium as the main nitrogen source in place of NH(4) (+), counts of relatively large colonies averaged 1.0 x 10(9) per g of feces from five persons-1.1% of counts on the medium containing Trypticase and yeast extract. All of the organisms from the large colonies in the urea roll tubes were morphologically similar, and all six representative strains isolated were identified as urease-forming Peptostreptococcus productus, a species not previously known to produce urease. Ureolytic strains of Selenomonas ruminantium and P. productus were negative for urease activity in three assay media when inocula were from media containing complex nitrogen sources. The study documents that P. productus is the most numerous ureolytic species so far found in human feces and suggests that NH(4) (+) and more complex organic nitrogen sources strongly repress its production of urease. The study also indicates the efficacy of chemically defined media for direct selective isolation of nutritional groups of bacteria from feces.

Anaerobiosis↗

Standardized single-disc method for antibiotic susceptibility testing of anaerobic bacteria.

A method was developed for determination of the antibiotic susceptibility of anaerobic bacteria by use of a single-disc diffusion technique and incorporation of the inoculum in pour plates. The method was standardized by correlation of zone diameters with minimal inhibitory concentrations determined in broth. Zone diameters could be used to approximate the minimal inhibitory concentrations of the seven antibiotics tested: ampicillin, bacitracin, carbenicillin, cephalothin, clindamycin, penicillin, and tetracycline.

Anaerobiosis↗

Taxonomy of anaerobes: present state of the art.

Results of nucleic acid studies, which indicate relationships among strains and species more clearly than do usual phenotypic tests, have led to new bacteriologic nomenclature. Some major changes in Bacteroides include the recognition of three species (Bacteroides melaninogenicus, Bacteroides denticola, and Bacteroides loescheii) formerly grouped in B. melaninogenicus subspecies melaninogenicus; two species (Bacteroides intermedius with two closely related homology groups and Bacteroides corporis) formerly grouped together as B. melaninogenicus subspecies intermedius; and two species (Bacteroides buccae and Bacteroides oris) formerly thought to be human isolates of Bacteroides ruminicola subspecies brevis. Former subspecies of Bacteroides fragilis have been elevated to species rank; and Bacteroides uniformis and an unnamed group ("3452A"), recognized. A new genus, Capnocytophaga, with three species, is composed of strains formerly classified as Bacteroides ochraceus or Centers for Disease Control (CDC) group DF-1. Strains previously thought to be human isolates of "Vibrio succinogenes" and related organisms that derive energy by reduction of fumarate or nitrate with formate or hydrogen have been reclassified in Bacteroides (Bacteroides gracilis), Campylobacter (Campylobacter concisus), or in a new genus, Wolinella.

Bacteria, Anaerobic↗