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Biomedical subjects

B King

Publications and source records attributed to B King.

At least 145 records · Page 8Linked to original sources

Recognition of infection associated with intravenous catheters.

Four cases are described in which the patients suffered from bacteriaemia due to infected intravenous infusions. Although all the patients were pyrexial, the white cell count was normal in all 4 cases at diagnosis and the infusion site appeared innocent. Following removal of the intravenous catheter and the institution of antibiotic therapy in each case, neutrophilia and localizing signs developed. It is stressed that a normal white cell count and an innocent appearance at the infusion site do not exclude this complication of intravenous therapy. Possible reasons for this presentation for sepsis are discussed.

Adult↗

Below-knee amputation in peripheral arterial disease.

A below-knee amputation will heal in most patients with atherosclerotic peripheral arterial disease, using no anterior flap and a long posterior myoplastic flap. The technique used by the authors is presented in detail, with their experience in 32 cases.

Aged↗

Isolations of aerobic sporing bacilli from the tips of indwelling intravascular catheters.

Following previous reports of the isolation of aerobic sporing bacilli from intravenous catheters and infusion sets, it was decided to analyse a series of catheter tip cultures to ascertain the significance of these isolations. Those catheters from which aerobic sporing bacilli were isolated behaved statistically differently from other catheters from which organisms were isolated, but were statistically similar to sterile catheters. Using the nitroblue tetrazolium (NBT) test no significant difference was found between patients with isolates of aerobic sporing bacilli and those with sterile catheters. The NBT test readily distinguished those patients from whom other organisms were isolated. In a small number of instances some evidence of a possible pathogenic role for the aerobic sporing bacillus was found, but the results clearly indicate that in most cases these organisms can be regarded as contaminants.

Aerobiosis↗

Analysis of results of catheter tip cultures in open-heart surgery patients.

A statistical analysis of 628 consecutive catheter tip cultures is presented. All were from patients undergoing open-heart surgery. The previously noted effects of early removal are shown to be significant. The possible effects of stasis, flushing, handling, and place of insertion are discussed. The unresolved significance of isolations of aerobic sporing bacilli is noted, and a decreasing incidence of postoperative infective endocarditis in the same group of patients is an encouraging sign.

Aspergillus nidulans↗

Serial nitroblue tetrazolium tests in the management of infection.

Two cases are described in which extensive use was made of the nitroblue tetrazolium (NBT) test. In the first case the advantages of using this technique to diagnose and control infection is shown; in the second the considerable advantage of the speed of the technique. In both of these cases the test made a material contribution to the management of the patient, and it is concluded that the test brings bacteriological control of the patient within the immediate clinical area, thus overcoming one of the principal disadvantages of the classical bacteriological methods.

Adult↗