The distribution of
Pseudomonas Aeruginosa (abbreviated as Ps) in sputum has not been clear and the significance of its residence in sputum has not been estimated correctly sometimes overestimated, sometimes underestimated. In this paper the distribution of Ps in sputum of normal adults and out- and inpatients of our hospital has been investigated for more than two years, supplemented by animal experiments on the carriage of Ps.
The results were as follows:
1. No Ps strains could be found in sputum of normal adults.
2. The carriage of Ps in sputum was limited to the in-patients. The carriers were 109 out of 1, 219 in-patients (8.9%) who stayed in our hospital for a long time suffering from lung tuberculosis. This rate was significantly higher than that in non tuberculous in-patients, whose rate was 2.6%.
3. Monthly or seasonal appearance of Ps carrier in the in-patients from lung tuberculosis was quite irregular. The in-patients from lung tuberculosis who demonstrated Ps in their sputa in successive examinations for more than two months was 20 out of 142 (14.1%).
4. Ps were administered directly into the stomach of two mice groups, the one given chloramphenicol (CP) daily by oral route and the other nontreated. In treated mice Ps were carried apparently for a longer time than in control mice.
5. There were two cases in which Ps were considered as a probable causative agent of their bronchopulmonary lesions.
6. The mechanism of development of Ps infection should be devided into two factors, that is, carriage-promoting factor which makes Ps settle in any site of the man and the factor by which the settled Ps renders him ill.
View full abstract