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Biomedical subjects

H Bösenberg

Publications and source records attributed to H Bösenberg.

At least 19 recordsLinked to original sources

[Sanitation measures in evidence of Legionella].

Appearance of Legionella disease generally is underrated. Conclusions as to disease frequency from Legionella antibody investigations are not reliable. The number of microbes necessary to produce illness depends from individual preliminary conditions. In special areas of the hospital the rate of diseases caused by Legionella can be reduced by protection. In bathing areas generally the hitherto existing regulations of the Federal Health Authority are sufficient: Continual warm water temperature increases from 60 degrees C, chlorination if necessary, regular stepwise controls. Insufficient results are produced by intermittent temperature increases. Filters that are impermeable for microbes appear uneconomical for bathing areas.

Colony Count, Microbial

[Bacterial growth of thrombocyte preparations during storage time].

Standard practice of platelet storage at room temperature may contribute to the risk of sepsis after platelet transfusion. Platelets in vitro inoculated with 10(3) or more different microorganisms showed logarithmic bacterial growth throughout the 5 days of storage. These data support the hypothesis that bacterial contamination of platelets might become clinically significant during the 5 days of storage.

Bacterial Infections

[Aspects of hospital hygiene in Legionella infections].

Legionella inevitably are imported from natural reservoirs into drinking-water supplies. Bacterial growth predominantly occurs at water temperatures between 40 degrees C und 50 degrees C (104 degrees F and 122 degrees F). Heat conduction to insufficiently insulated cold water tubes implies the possibility of increased contamination also there. Problems with contamination arise in parts of the water supplies with stagnant warm water. Therefore, reservoirs should be descaled regularly. In general, for prophylaxis are recommended raising the temperature of warm water to 60 degrees C (140 degrees F), regular microbiological control of water quality and regular technical maintenance of waterworks where warm water stagnates for some time. Patients bearing a higher risk of Legionella-infections require intensified precautionary measures. The diagnosis of legionellosis should be based on the direct evidence of immunofluorescence-stained microorganisms. Finding increased antibody titers alone is not always correlated with the response to Legionella-specific therapy.

Colony Count, Microbial

[Wigs as medical aids. Selection, care and cost regulation].

In a discreet way, wigs not only cover up a disfiguring loss of hair but also chronic and suppurative diseases of the scalp. We especially deal with the problems regarding the choice of such wigs, how they are--if necessary--disinfected, cleaned, and tended, and how the expenses may be settled.

Alopecia

The importance of different laboratory methods in Legionella diagnosis in medical care.

Legionellae an infection by contaminated water is thought to be respo environment of patients with a high risk of infection (e.g. after ki lantation, immunosuppression) prophylactic measures (rising the tempe warm water to 60 degrees C) should be combined with bacteriological c s to be taken into account, however, that only by taking a couple of he same outlet during a period of time a colonization of central inst ms (sediments, storage tanks) can be discovered. In patients with acu a of unknown origin serological tests of Legionella antibodies are no c. Antibody titers of not infected and with Legionella infected patie gnificant difference. Well suited for the diagnosis of a legionellosi f the Direct Immunofluorescent Antibody Assay (DFA) in invasively sam . In immunocompromised pneumonia patients 18.3% of bronchoalveolar 6.0% of bronchoalveolar aspirates are Legionella positive. RETURN/proces t F3/ext F4/can F5/nxt F6/ins F7/up F8/dwn F9/fin lavages and 16.0% of bronchoalveolar aspirates are Legionella positive.

Antibodies, Bacterial