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52 巻, 1 号
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大林 明1978 年 52 巻 1 号 p. 1-2
発行日: 1978/01/20
公開日: 2011/09/07
ジャーナル フリーPDF形式でダウンロード (242K) -
III主として急性単純性細菌性膀胱炎の自然治癒率について桐山 啻夫1978 年 52 巻 1 号 p. 3-9
発行日: 1978/01/20
公開日: 2011/09/07
ジャーナル フリーBased on several assumptions, a percentage of spontaneous recovery from acute simple cystitis was figured from the equation which had been proposed in a previous report mathematically to study voiding defense mechanism of the urinary bladder. It was made clear from the calculation that many of patients with acute simple bacterial cystitis who had been administered with an antibacterial drug for 3 days and had recovered from the disease could be regarded as cases of the spontaneous recovery which the voiding defense mechanism itself had produced, and that the percentage of the spontaneous recovery closely depended on how many times the patient urinates for the duration. Therefore, it comes to conclusion that a 2-day administration method, which was figured to include no case of the spontaneous recovery, is more beneficial than the conventional 3-day administration method if the disease is used for evaluating a therapeutic effect of an antibacterial drug for urinary tract infection, and frequencies of mictions for the duration should be checked if the 3-day administration method would be adopted.
Relations between the generation time of bacteria and the frequencies of mictions at which a patient should urinate for 3 days in order to clear entirely the urinary bladder of the bacteria are also exhibited graphically. There, the bladder is assumed to have the residual urine rate of 1%, 10% or 20%. It is also demonstrated by graphs that an administration of an antibacterial drug before sleeping combined with slight water diuresis in daytime offers a little advantage over the routine every-6-hour administration to acute simple bacterial cystitis.抄録全体を表示PDF形式でダウンロード (880K) -
金 兌貞, 近野 聖子1978 年 52 巻 1 号 p. 10-15
発行日: 1978/01/20
公開日: 2011/09/07
ジャーナル フリーA strain of glucose-oxidizing Gram-negative rod was isolated repeatedly for a long period of time from hands disinfected with chlorhexidine (Hibitane) in ultrasonic equipment in an operating theatre. The isolates identified as a strain of Alcaligenes faecalis showed an extremely high resistance to the inhibitory action of chlorhexidine, and the MIC of the disinfectant to the isolates was approximately 50 to 100 times greater than those to clinical isolates, e.g., Alcaligenes faecalis, Pseudomonas aerugionsa and Staphylococcus aureus.
The isolates originated from disinfected hands were also highly resistant to benzetonium chloride (Hiamine), and were as sensitive as the clinical isolates for cresol.
Among 117 strains of several genera of Gram-negative bacteria originated from clinical specimens, Pseudomonas aeruginosa and Proteus species showed relatively strong resistance against chlorhexidine, and none of them showed high resistance like the hand-derived strain of Alcaligenes faecalis.
It was elucidated that the repeated detection of the same genus of microorganism was attributable to contamination of the ultrasonic equipment by the chlorhexidine-resistant bacteria. Though there are some advantages in the ultrasonic equipment to reduce the trouble in removing bacteria mechanically from the skin, it should be emphasized that the user's overestimate to the equipment for its efficacy in hand disinfection is very dangerous.抄録全体を表示PDF形式でダウンロード (731K) -
神田 誠, 前川 悟志, 牛尾 正孝, 岩部 道孝, 本多 輝男, 吉田 守孝1978 年 52 巻 1 号 p. 16-22
発行日: 1978/01/20
公開日: 2011/09/07
ジャーナル フリーWe had an opportunity to examine the virologic study and clinical aspects of patients affected with erythema infectiosum. There was a small area-wide outbreak of erythema infectiosum in an elementary school located in Hiki-gun, Saitama. We examined 74 patients (28 boys and 46 girls), and as many as 5.1% of children in this school have been infected. Seven paired serum samples obtained for serological tests showed no significant rises in antibody titers to rubella, measles, adenovirus, ECHO 6, 7, 9, 11, coxsackie B 1-6 viruses, nor to Mycoplasma pneumoniae. Throat swab specimens were obtained for viral isolation, but we had no clue to confirm the pathogenic agent.抄録全体を表示PDF形式でダウンロード (2779K) -
1978 年 52 巻 1 号 p. 38-40
発行日: 1978/01/20
公開日: 2011/09/07
ジャーナル フリーPDF形式でダウンロード (385K)
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