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Biomedical subjects

R N Peel

Publications and source records attributed to R N Peel.

9 recordsLinked to original sources

Chlamydia: its influence in chronic secretory otitis media.

Since Chlamydia trachomatis was isolated from middle ear effusions of neonates with natally acquired chlamydial infection (Tipple et al., 1979), there have been several studies to detect chlamydia in older children with chronic secretory otitis media, mainly by tissue culture. In this study, the aspirates of 106 middle ear effusions of 60 children with chronic secretory otitis media were investigated for the presence of C. trachomatis, other bacteria and viruses. An amplified enzyme-linked immunoassay was used to detect the presence of chlamydia. The bacteriological and virological results mirrored previous studies in the United Kingdom and no chlamydia were found. Chlamydia do not appear to be related to the aetiology of this disease in the population examined.

Bacteria↗

Continuous irrigation of the bladder after prostatectomy: its effect on post-prostatectomy infection.

The incidence of post-prostatectomy bacteriuria was measured in patients having no continuous bladder irrigation postoperatively, in those irrigated for 24 hours with chlorhexidine 1/5,000, and in those irrigated with normal saline. The infection rate after saline irrigation was greater than after chlorhexidine, but the infection rates after chlorhexidine irrigation and drainage alone were similar. The infection rate was higher in older patients, in those treated with retropubic rather than transurethral prostatectomies, in those who had postoperative catheters for more than 4 days, and in those admitted in acute retention of urine. The increase in infection rate associated with acute retention was seen only in the group treated with drainage alone postoperatively. Chlorhexidine irrigation appears to reduce the infection rate in these cases.

Age Factors↗

The effect of temperature of the culture medium on the outcome of blood culture.

Small numbers of seven species of bacteria commonly causing bacteraemia in man were inoculated into fresh human blood, and then cultured by a standard method used for diagnostic blood culture. Prior warming of the medium did not improve the recovery of the inoculated bacteria and it is suggested that such warming is not required when performing diagnostic blood culture.

Bacteriological Techniques↗