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Biomedical subjects

S C Edberg

Publications and source records attributed to S C Edberg.

111 records · Page 7Linked to original sources

A defined substrate technology for the enumeration of microbial indicators of environmental pollution.

The examination of water and other environmental sources for microbial pollution is a major public health undertaking. Currently, there are two accepted methods in use: the multiple-tube fermentation (MTF) and the membrane filtration (MF) tests. Both methods are designed to enumerate the secondary indicator group, total coliforms. Both tests suffer several inherent limitations, including a time delay of three to seven days to obtain a definitive result, the subjective nature of the test interpretation, and the inability to provide directly useful public health information. A defined substrate technology, originally used to enumerate specific bacterial species from mixtures in clinical urine specimens, was applied to water testing; the technology was constituted to enumerate simultaneously both total coliforms and the primary indicator bacterium E. coli. Examination of environmental isolates of these two classes of target microbes showed sensitivity equal to available methods, with potentially greater specificity. It was not subject to inhibition by bacteria other than the targets, grew injured coliforms, did not require confirmatory tests, and the maximum time to a positive was 24 hours. The defined substrate technology provides both regulatory and directly useful public health information.

Bacteriological Techniques↗

Rapid methods for the immunodiagnosis of infectious diseases: recent developments.

Current techniques for rapid diagnosis of microbial infections by direct detection of the microbial agent are compared. The techniques include enzyme immunoassay (EIA) tests, immunofluorescence, latex agglutination assays, and nucleic acid hybridization procedures. It is concluded that, for the near future, the preferred methods for rapid diagnosis will be by (1) EIA tests utilizing monoclonal antibodies and improved enzyme detection systems, and (2) improved latex agglutination procedures for certain antigens. Nucleic acid hybridization techniques, as currently performed, will need to be substantially improved to become the methods of choice.

Bacterial Infections↗

Enterobacter hafnaie infection: report of two cases and review of the literature.

Two of 255 wounded soldiers developed nosocomial infection with Enterobacter hafniae. This species is rarely associated with urinary or gastrointestinal disease, and had not been heretofore reported in the setting of localized or bacteremic wound infection. Difficulties in nomenclature and identification have obviated accurate assessment of the importance of E. hafniae as a pathogen. Nevertheless, in view of the relative sensitivity of this species to antibiotics one should be careful to distinguish E. hafniae from other members of the genus Enterobacter.

Adult↗