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Biomedical subjects

G W Tobin

Publications and source records attributed to G W Tobin.

5 recordsLinked to original sources
PubMed1994

Outbreak of infection with penicillin-resistant Streptococcus pneumoniae in a hospital for the elderly.

A penicillin- and trimethoprim-resistant strain of Streptococcus pneumoniae serotype 9 was isolated from sputum, pleural effusion fluid or blood collected from 10 patients with lower respiratory tract infection on three separate wards in a hospital for the elderly over a 3-week period in February, 1993. Eight of the 10 infections were hospital-acquired. Following the cessation of new admissions to wards with infected patients, and a change of antibiotic policy for the treatment of lower respiratory tract infections, there were no new isolates. The outbreak probably resulted from failure to promptly identify, and manage appropriately infection in the index case.

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PubMed1986

Faecal incontinence in residential homes for the elderly: prevalence, aetiology and management.

Faecal incontinence occurring at least once weekly was found in 10.3% of residents in 30 residential homes for the elderly. Fifty-two randomly-selected incontinent residents were prescribed treatment and the outcome was compared with 30 incontinent residents acting as controls. The vast majority of all incontinent residents showed evidence of chronic brain failure (dementia). Incontinence had been present for over a year in 73%, yet only 4% had been referred to their general practitioner. Incontinence secondary to constipation or impaction and neurogenic incontinence were equally common. Full compliance with the recommended treatment was obtained in 66%, and 87% of these were cured. This compared with 32% of the control group during the same period (P less than 0.001). This study confirms that in the great majority of cases faecal incontinence in old people is both curable and preventable.

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PubMed1986

The management of urinary incontinence in local authority residential homes for the elderly.

Urinary incontinence occurring at least once weekly was found in 32% of residents in 30 Local Authority Residential Homes for the Elderly. Incontinence was significantly commoner among female residents. One hundred and seventy-four incontinent residents were randomly selected in order to assess the effect of medical intervention (study group). A further 104 incontinent residents were selected to act as controls (control group). The vast majority of the study group showed evidence of chronic brain failure and 40% had impaired mobility. Almost half had been incontinent since admission. Urodynamic studies were required for management in only two (1.1%). Most (93%) were managed in accordance with a clinical diagnosis of an unstable bladder. There was a reduction in daytime incontinence in 40% of the study group, but this was matched by a reduction in 29% of the control group and the difference was not significant. The reduction in nocturnal incontinence in 41% of the treatment group was significantly different from 23% of the control group (P = 0.016).

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