Relation between rates of leg amputation and distal arterial reconstructive surgery. Oxford Regional Vascular Audit Group.
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Biomedical subjects
Publications and source records attributed to P Rutter.
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In wounds on the back of guinea-pigs an inoculum of 6 x 10(5) of Escherichia coli and of Bacteroides fragilis produced a frank infection rate of 27 per cent. Addition of a catgut or a braided nylon tie statistically significantly increased the rate to 56 and 48 per cent respectively. Prolene and silk produced much smaller, non-significant rises. The rate with polyglycolic acid was 18 per cent which, though not statistically significant, suggests the possibility that this material produces conditions unfavourable to multiplication of bacteria that produce this type of infection.
Measurements were made of the rates at which continuously cultured Streptococcus sanguis NCTC 7868 cells accumulated on the inside surfaces of narrow glass capillaries from suspensions of the bacteria flowing down the capillaries at different velocities. Initially, the rate of accumulation of bacteria on the clean walls of the capillary was rapid. The deposition rate decreased with time, however, resulting in a saturation coverage of the glass surface which was considerably less than a monolayer. Multilayer coverage of the tube surface by bacteria was only achieved when fresh nutrient was pumped over deposited cells. This was attributed to cell growth. Although theoretical considerations of the deposition of small particles on to the walls of a tube suggest that the initial deposition rate should increase with flow rate, this was not the case with cells grown at dilution rates of 0.2 and 0.5 h-1. It is suggested that this can be explained by a polymer bridging mechanism of attachment.
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