PubMed Health⌕ Search

Biomedical subjects

A M Geddes

Publications and source records attributed to A M Geddes.

At least 127 records · Page 7Linked to original sources

Mecillinam: a new antibiotic for enteric fever.

Mecillinam is a new antibiotic related to the penicillins but more active than ampicillin against salmonellae, including Salmonella typhi. Mecillinam must be administered parenterally, but the ester, pivmecillinam, is absorbed from the gut. Eight patients suffering from typhoid fever and one suffering from paratyphoid fever were treated with the antibiotic, and seven responded satisfactorily. One patient could not tolerate pivmecillinam because of vomiting but there were no other adverse reactions. Serum and bile levels of mecillinam were many times the minimum inhibitory concentrations for most salmonellae. The antibiotic is a promising addition to the agents available for treating typhoid.

Adolescent↗

Trimethoprim-sulfamethoxazole in the treatment of gastrointestinal infections, including enteric fever and typhoid carriers.

Forty-three patients suffering from typhoid fever, 11 from paratyphoid fever, six from bacillary dysentery caused by Shigella flexneri, and nine carriers of Salmonella typhi or S. paratyphi B, have been treated with trimethoprim-sulfamethoxazole compound. Fifty-one of the 54 patients who had typhoid fever or paratyphoid fever responded satisfactorily to treatment. Two patients with typhoid fever failed to respond and one died. In the patients with bacillary dysentery acute symptoms subsided rapidly within 24 hours of starting trimethoprim-sulfamethoxazole. Seven of the nine typhoid or paratyphoid carriers have been followed up after treatment and only one remains a fecal excretor of S. typhi. Five patients in the series developed a skin rash during therapy, one a macrocytic anemia and one reversible neutropenia. It is concluded that trimethoprim-sulfamethoxazole is an effective agent for the treatment of enteric fever, severe bacillary dysentery and typhoid carriers.

Administration, Oral↗

Malaria in Birmingham 1968-73.

During the years 1968 to 1973 70 patients suffering from malaria were admitted to one hospital in England. Twenty had malignant tertian malaria while the remainder had infections caused by Plasmodium vivax, P. ovale and P. malariae. Malaria should be suspected in every febrile patient who has visited a tropical country, and the diagnosis can be confirmed only by examining blood films. Disseminated intravascular coagulation may complicate the disease, and should be considered in every case.British workers spending short periods in malarious areas and Asian immigrants returning home for a holiday are often inadequately instructed about malarial prophylaxis, particularly the need to continue this for at least a month after they return home. Companies and travel agencies should be obliged to provide such instructions.

Adult↗

Antibiotics today.

Explore the source record for details and available documents.

Anti-Bacterial Agents↗

Chemotherapy.

Explore the source record for details and available documents.

Aminoglycosides↗