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Biomedical subjects

E W Williams

Publications and source records attributed to E W Williams.

At least 19 recordsLinked to original sources
PubMed2005

Oesophageal foreign bodies at the University Hospital of the West Indies.

A retrospective study was conducted of 97 patients with oesophageal foreign bodies (EFB). The patients were admitted to assess characteristics of EFB, modes of presentation and radiological and endoscopic findings. The patients were from the University Hospital of the West Indies and most (42%) were over the fourth decade of life. The commonest EFB were bones. A negative radiological finding was not a reliable means to select patients for endoscopy. Oesophagoscopy is a reliable method in the treatment of EFB impaction. There were no major complications or deaths.

Bone and Bones↗
PubMed2005

The effect of Hurricane Ivan on Emergency Department operations at the University Hospital of the West Indies.

The objective of this study was to determine the impact of Hurricane Ivan on the operations of the Emergency Department (ED) at the University Hospital of the West Indies (UHWI). Hurricane Ivan,--a category four Hurricane--traversed the south coast of the island of Jamaica on September 10, 2004, causing damage to several parishes. The study design is a descriptive retrospective record-based incidence study of all admissions to the ED commencing at 8:00 am September 10, 2004 and ending at 12 midnight September 11, 2004, covering the period of the entire duration of the hurricane as well as immediately after. Injuries that took place during the hurricane, inclusive of gun-shot wounds (GSWs) represented 40% of the total patients seen. The types of admission are listed categorically as well as specific items to be considered in planning for potential disasters of higher magnitude. Overall, the coping mechanism of the ED at UHWI was adequate for this magnitude of disaster.

Adult↗
PubMed1991

A maternity hospital outbreak of methicillin-resistant Staphylococcus aureus.

A maternity hospital outbreak of methicillin-resistant Staphylococcus aureus with a strain other than EMRSA-1 is described. In contrast to previously documented outbreaks, which have usually centered on special care baby units, this outbreak mainly involved the routine ante-natal and postnatal wards. Thirty-seven mothers, 18 babies and nine staff were affected over a 6-week period. The high turnover of very mobile maternity patients and the open-plan design of the hospital influenced the course of the outbreak and adversely affected implementation of infection control measures. Significant environmental contamination and a very high rate of maternal perineal MRSA colonization were notable epidemiological features.

Cross Infection↗
PubMed1991

Carriage and community treatment of methicillin-resistant Staphylococcus aureus: what happens to colonized patients after discharge?

During a maternity hospital outbreak of colonization/infection due to methicillin-resistant Staphylococcus aureus (MRSA), mothers and babies from 35 families were known to have been discharged colonized with MRSA. Thirty-two of these families were followed up by screening in the community. After 4 weeks, carriage was still detectable in 22 families. The ten families in which carriage was no longer detectable had MRSA isolated at discharge from enrichment culture only. All of the 11 families who had MRSA isolated on direct culture at discharge continued to carry MRSA. Mothers and babies from the 22 families still carrying MRSA at 4 weeks were offered topical treatment. Carriage persisted in ten of these families despite treatment. The most common site of persistent carriage was the perineum in mothers and the throat in infants.

Carrier State↗
PubMed1987

Interaction between ciprofloxacin and vancomycin against staphylococci.

The interaction between ciprofloxacin and vancomycin against nine isolates of Staphylococcus epidermidis from cases of infective endocarditis and three strains of S. aureus was studied. Killing curves indicated the presence of antagonism in the early stages, the clinical significance of which is uncertain. No synergy was found and the combination therefore does not appear to offer any advantages over vancomycin alone for the treatment of staphylococcal infections.

Ciprofloxacin↗
PubMed1985

Incidence of sarcoidosis in the Isle of Man.

The incidence of sarcoidosis in a clearly defined island community has been determined in a seven year study. Special efforts were made to identify all cases, including those presenting to their general practitioners with only minor symptoms. A mean incidence of 14.7 per 100 000 per annum has been found in the years 1977-83 compared with an annual incidence of 3.5 per 100 000 in the preceding 15 years, when no specific attempts were made to identify sufferers from sarcoidosis. The lower figure is similar to the reported incidence in the United Kingdom and the difference is considered to be due to increased detection of cases during the study period. These findings suggest that a large proportion of cases of sarcoidosis in a general population may not be recorded in a registration system.

Adolescent↗
PubMed1983

Serious nosocomial infection caused by Morganella morganii and Proteus mirabilis in a cardiac surgery unit.

In July and August 1981, five patients in the cardiac surgery unit of the Bristol Royal Infirmary developed septicemia caused by Morganella morganii, Proteus mirabilis, or both of these species. Three of the patients had serious wound infections, and three of the patients died. Typing of the M. morganii isolates by O-serotyping and of the P. mirabilis isolates by O-serotyping, proticine production and sensitivity, and the Dienes reaction confirmed cross infection by both species. Although M. morganii has been regarded as a relatively unimportant human pathogen in the past, it may prove to be an important cause of nosocomial infection in the future.

Adult↗