Biomedical subjects
L Wintermeyer
Publications and source records attributed to L Wintermeyer.
Menstrually-related toxic shock syndrome.
Cases of suspect toxic shock syndrome reported to a state health department were studied. Retrospective examination of 53 definite and 29 probable cases of menstrually-related TSS revealed no significant differences in mean age, proportion with vaginal or cervical isolates of Staphylococcus aureus, proportion using tampons, proportion hospitalized and mortality.
AIDS concerns in Iowa: an interview with Laverne Wintermeyer.
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Legionnaires' disease associated with a hospital water system: a cluster of 24 nosocomial cases.
Over a 10-month period, 24 cases of Legionnaires' disease pneumonia occurred among patients admitted to an Iowa hospital, most of whom were immunosuppressed. Eleven patients died. Twenty-one patients were admitted to a recently completed hospital addition, 16 of these to a new hematology-oncology unit. Legionella pneumophila serogroup 1 was isolated from the patients, water outlets, and hot water in the new addition. Water quality variables in the hospital addition were adequate. Shock chlorination, temporary elevation of the hot water temperature, and continuous chlorination of hospital water decreased the frequency of isolation of Legionella. Water use by patients in the hematology-oncology unit was restricted until the water was free of Legionella. The incidence of Legionnaires' disease decreased. Indirect evidence supports an hypothesis of water-borne disease in this cluster of cases. Current variables of acceptable water potability may not guarantee water free of L. pneumophila.
Measles in a partially immunized community.
During the investigation of a measles outbreak in a rural community, a spectrum of illness was observed which ranged in severity from a brief febrile illness to one characteristic of typical measles. Unimmunized children were more apt to develop measles (p less than 0.001) than were immunized children. However, a proportion of both the immunized and unimmunized children developed a milder, "measles-associated," illness. Employing a logistic model, it was demonstrated that the probability of developing either measles or "measles-associated" illness decreased with increasing age at immunization but was not affected by the interval since immunization.
Legionnaires' disease in Iowa: an update.
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