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Biomedical subjects

E Sargent

Publications and source records attributed to E Sargent.

6 recordsLinked to original sources

Factors affecting the duration of postnatal visits.

24 community midwives recorded details of 783 postnatal visits over a 2 week period. The findings provide a description of postnatal visiting practice in Lothian Region, Scotland. Analysis revealed that 10 factors were significantly associated with the duration of visits. These could be grouped as follows: time consuming procedures (physical examination of the mother or baby, PKU testing), administration-related (the number of other visits that day, the need to liaise with general practitioners or health visitors, whether the mother was already known to the midwife, the time kept waiting at the house), feeding-related (the existence of feeding problems, whether the mother had breast fed previously) and delivery-related (the existence of complications during the delivery). The presence of health, social or emotional problems, or the lack of family/partner support was not associated with longer visits. The implications of these findings are discussed.

Adult

Haemophilus influenzae type b osteomyelitis.

Three children had osteomyelitis due to Haemophilus influenzae type b. They were seen with signs and symptoms indistinguishable from infection caused by other organisms. One child was initially misdiagnosed as having septic arthritis because of failure to appreciate that Hemophilus may also cause bone infection. In the second patient osteomyelitis and arthritis developed during ampicillin sodium therapy for treatment of Hemophilus meningitis. His initial infection was caused by an ampicillin-sensitive isolate but his orthopedic infection subsequently responded to therapy only after changing to a regimen of chloramphenicol. In the third patient, bone scintigraphy was helpful in diagnosis since serial roentgenograms were not diagnostic of osteomyelitis. The anticapsular antibody responses of these patients were measured by radioimmune assay. The levels found were low but comparable to age-matched control children with H influenzae type b meningitis.

Antibodies, Bacterial