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MATERNAL WELFARE.

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Abortion, Induced↗

[Antibacterial chemotherapy of "septic kidney"].

In the present retrospective study we report on antibacterial chemotherapy in patients suffering from a septic kidney. The results were documented in a course table, in which the septic parameters were divided into scores from 0 to 4 allowing to follow each patient's course with respect to the indicated scores. Two antibacterial substances were applied as short infusions with intervals of 4-6 hours between the administration of the different substances (Innsbruck scheme of chemotherapy). In all cases within 6 days from the onset of this therapy the septic parameters turned to normal values. None of the 24 patients suffering from a severe course of urosepsis, all treated at the University Hospital of Urology in Innsbruck between 1980 and 1990, died.

Adolescent↗

Serious nosocomial infection caused by Morganella morganii and Proteus mirabilis in a cardiac surgery unit.

In July and August 1981, five patients in the cardiac surgery unit of the Bristol Royal Infirmary developed septicemia caused by Morganella morganii, Proteus mirabilis, or both of these species. Three of the patients had serious wound infections, and three of the patients died. Typing of the M. morganii isolates by O-serotyping and of the P. mirabilis isolates by O-serotyping, proticine production and sensitivity, and the Dienes reaction confirmed cross infection by both species. Although M. morganii has been regarded as a relatively unimportant human pathogen in the past, it may prove to be an important cause of nosocomial infection in the future.

Adult↗

Significance of anaerobic bacteria isolated from the urinary tract. II. Experimental studies.

An attempt to cause retrograde urinary tract infection with Bacteroides fragilis (a strain subcultured in artificial media) failed to produce any significant renal infection in rats. Intravenous inoculation with Fusobacterium (a strain subcultured in artificial media) also did not cause demonstrable renal infection in rats. Nor could the anaerobic organism be demonstrated in the kidneys of these animals. Animals receiving Bacteroides (a strain subcultured in artificial media) inoculated directly into the renal medulla developed no renal infection. The anaerobic organism however, continued to be demonstrable in the kidneys of 78 per cent of these animals even on the 3rd day after inoculation. Rabbits receiving Bacteroides (a fresh clinical isolate) which was injected into the subcutaneously fixed kidney with ureteral obstruction all developed overt renal infection. There was also evidence of marked proliferation of the injected anaerobic bacteria and pyuria in these cases.

Anaerobiosis↗

Cinoxacin: effectiveness against experimental pyelonephritis in rats.

The antimicrobial activity of cinoxacin, 1-ethyl-4(1H)-oxo-[1,3]dioxolo[4,5-g]cinnoline-3-carboxylic acid, previously reported as compound 64716, was determined and compared with other antimicrobial agents at a dosage of 12 mg/kg once daily in a descending pyelonephritis rat model with Escherichia coli and Proteus mirabilis as infecting organisms. Cinoxacin was considerably more effective than either nalidixic acid or oxolinic acid when all three were administered orally at 3 mg/kg four times daily. The presence of demonstrable serum activity with a high recovery in urine indicates cinoxacin possesses highly desirable properties of an effective oral chemotherapeutic agent for urinary tract infections.

Animals↗

Adherence of urease-induced crystals to rat bladder epithelium following acute infection with different uropathogenic microorganisms.

Apart from urine supersaturation with respect to struvite and calcium phosphate, crystal retention is considered to be necessary for the formation of infection stones. This study was performed to investigate the role of the mucous coat in rat bladders in the adhesion of sterile urease-induced crystals and to determine to what extent the adhesion was influenced by infection. Elimination of the mucous coat with 0.1 M HCl increased the adherence of crystals six times compared to that in bladders with an intact mucous coat. Infection with Proteus mirabilis, Escherichia coli, enterococci and Ureaplasma urealyticum increased the adherence six, five, four and two times, respectively. Injury to the mucous coat may thus be one mechanism by which microorganisms can contribute to the formation of infection stones in the urinary tract.

Animals↗