Algorithm guides ICP infection investigation.
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Biomedical subjects
Publications and source records attributed to B Tegtmeier.
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Plasma PCR for human cytomegalovirus (CMV) DNA was compared with bronchoalveolar lavage (BAL) fluid culture as an indicator for disseminated CMV infection. Thirteen (32.5%) of 40 consecutive bone marrow transplant (BMT) recipients were BAL fluid culture positive for CMV on day 35 post-BMT, and 9 (69%) of the 13 had positive plasma PCRs between days 28 and 49. Of the 27 with negative BAL fluid cultures, 2 (7%) had positive plasma PCRs (P < 0.001). Plasma CMV DNA in BMT recipients is a useful clinical marker for serious infection.
The ability of perioperative cefazolin to reduce the incidence of postoperative wound infection in patients undergoing ablative surgical treatment for carcinoma of the breast was tested in this prospective, randomized, double-blinded study. From May 1983 until December 1985, 118 women were divided into two groups at random. Group 1 consisted of 59 patients and received cefazolin and group 2 was made up of 59 patients who received a placebo. The groups were similar with respect to age, operative procedure, operative time and time to discharge after operation. Three infections occurred among those in group 1 and five among those in group 2 (p = 0.72). The time to onset of infection was delayed in the patients in group 1 versus those in group 2 (17.7 days versus 9.6 days, p = 0.04). Six of eight infections occurred in patients in whom an interval between biopsy and definitive surgical treatment was present. Prophylactic antibiotics in mammary operations did not reduce postoperative wound infections in this study.
9 pigs of a live weight at the beginning of the experiment of 33 kg received in 3 consecutive series of experiments (3 animals/group) a basic barley ration of 1.0-1.2 kg per animal and day. In groups 1 to 9 the following supplements were given: 1 = without N-supplement, 2 = 10.5 g urea, 3 = 79 g dried skim milk, 4 = 11 g urea, 5 = without N-supplement, 6 = 110 g horse bean coarse meal, 7 = without N-supplement, 8 = 95 g dried skim milk, 9 = 120 g horse bean coarse meal. In groups 1-6 the ration was supplemented with 150-165 g DM partly hydrolysed straw meal per animal and day. After 20 days the animals received a single dosis of 0.5 g/kg0.75 15N-urea (72.1 atom-% 15N-excess) with the morning meal of the first day of the experiment. During the four days of the experiment groups 1-6, due to the straw meal supplement, excreted significantly higher N-amounts than the corresponding groups 7-9. In comparison with the first day of the experiment (1 h after the morning meal) urea concentration in the blood decreased to the following percentage in the sequence 1-9: 64; 65; 77; 54; 64; 73; 82; 88; 84 on the second day of the experiment (1 h before the evening meal. Between the excretion of 15N-excess in faeces (y = mg) during the four days of the experiment and the concentration of urea in the blood (x = mmol/l) there was the following significant negative correlation: y = -40.1 X +340.(ABSTRACT TRUNCATED AT 250 WORDS)