[Obstetrical care and midwives in Australia and New Zealand].
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Biomedical subjects
Publications and source records attributed to N Shinagawa.
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Pseudomonas cepacia (Ps. cepacia), usually a non-pathogenic organism, has been described recently as a cause of human disease. The authors have recently observed 3 children with meningitis caused by Ps. cepacia. These cases were treated successfully with an oral administration of Sulfamethoxazole-Trimethoprim, after treatment with antibiotics had failed. Case 1 was a 7 month old male with a V-P shunt, who had suffered from hydrocephalus following intraventricular hemorrhage in the neonatal period.
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241 patients who had gastrointestinal operations were studied prospectively. Postoperative diarrhoea occurred in 58 patients (24%) and was significantly more common after exposure to antibiotics. 9 patients (4%) had high titres of a neutralisable faecal toxin characteristic of pseudomembranous colitis. Toxigenic Clostridium difficile strains were isolated from the stools of all patients with neutralisable faecal toxin. If pseudomembranous colitis is defined as the presence of neutralisable faecal toxin, then the diagnosis is often missed by sigmoidoscopy and rectal biopsy.