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Biomedical subjects

A Pagano

Publications and source records attributed to A Pagano.

At least 109 records · Page 6Linked to original sources

[Epidemiologic study and cost analysis of an Slamonella enteritidis epidemic].

Salmonellosis is one of the most common forms of foodborne infection. An outbreak of gastroenteritidis associated with a wedding party was investigated, even to value the costs falling on individuals, the health services and society as a whole. One hundred and fifty nine wedding guests were interviewed by phone. Multivariate analysis was used to assess which food were significantly associated with infection. One hundred and thirteen cases were identified; ten stool samples were culture positive for Salmonella enteritidis. Handmade ice-cream and babà (a typical Italian pastry) were significantly associated with infection. The cost of a case was estimated to be between US $ 74 (for non hospitalised patients) and US $ 1,896 (for hospitalised patients). The outbreak was caused by a strain of Salmonella enteritidis and the vehicle of infection were unpasteurised eggs used to prepare the ice-cream. The economic impact of this outbreak was considerable and mainly due to the hospitalisation.

Adult↗

[Relationship between the university and the National Health Services: the experience in northern Italy].

The paper summarises the results of the experiences presented at the "Meeting on Public Health in Northern Regions" held in Milan. Despite the differences seen at local level the importance of interaction between "academic" expertise and field attachment is seen as crucial. Actual legislation pushes toward considering the academic role as a result of the development of teaching, research, health care skills. The paper consider that also a public health doctor in practising should see his role as the result of a mix of "health care, research and teaching" abilities so that a harmonisation looks possible in so far as they know each other and work for the same objectives although in a different context. On the other hand, the University should perceive itself as service given to a community. So, in conclusion, if politics means the common interest in the public affairs this fourth dimension should join the three considered above in general terms and particularly in the field of Public Health Medicine.

Community-Institutional Relations↗

[Comparison of manual agar-diffusion (Bauer) technique and "Abac" semiautomatic device for the determination of "in vitro" bacterial sensitivity to antibiotics (author's transl)].

A comparison of antibiotic in vitro sensitivity tests performed on 115 freshly isolated Gram-negative bacterial strains with the manual standardized agar-diffusion technique according to Bauer and with the semiautomatic Abac (Intertechnique) device showed univocal results 85.5% of times, being Abac sensitivity 85.6% and specificity 86.2%. The frequency of univocal results is higher that in most of the previous trials, especially for ampicillin and cephalotin. No particular responses have been shown by the dirrerent microorganisms tested. After a discussion of the variables which can influence the results and the suggestion of some steps to be taken, the AA. analyze the role of Abac and its possible achievements in small and medium-size bacteriological laboratories.

Anti-Bacterial Agents↗

[Infections of the biliary tract. Usefulness of bile culture in surgical environment].

During 1980 seventy-five selected bile samples, obtained by transcutaneal colangiography before surgery, during the operation and by drainage after surgery, were examined at the Microbiological Laboratory, Main University Hospital of Milan. Aerobic cultures were successful 75% of cases. Seventeen samples were tested also for strict anaerobic bacteria and ten (59%) showed positive findings. Identified species and the antibiotic sensitivity spectre of the isolates are described. Comparing their results with those from Literature, the authors discuss the indication of both aerobic anaerobic bile cultures, and the need to monitor after surgery the patients undergoing complicate operations of the biliary tract.

Bacterial Infections↗