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Biomedical subjects

M GROSSMAN

Publications and source records attributed to M GROSSMAN.

At least 37 records · Page 2Linked to original sources

The role of pediatricians in general hospitals.

Besides the responsibilities of his own personal patients, the pediatrician has a community responsibility toward the hospital which is his workshop. His area of interest may include proper standards in the field of newborn and premature care, and control of communicable disease and hospital-acquired infection not only in the nursery but in the entire hospital-particularly staphylococcal infections. Finally, the pediatrician should see to it that not only the pediatric ward but the hospital as a whole, and the personnel working in it, provide a suitable emotional climate for the sick child.

Child↗

Antibiotic resistant staphylococci.

An antibiotic resistant staphylococcus with bacteriophage pattern 52/42B/80/81* is frequently responsible for infectious outbreaks in the newborn nursery. Some time after an outbreak had occurred in the University of California's hospital nursery, family members of the infants were found to be infected with this strain. Two families were studied in detail. In one of them, infection developed in six of the seven members within eight months after the infant's arrival. In the other, half of the family members had recurrent infections during a 13-month period.Infants who left the nursery as asymptomatic carriers were found as likely to transmit the infectious strain as those with clinical infection. Considerable time sometimes elapsed before infection developed in either the infant or the family members. In one instance the first familial infection occurred six months after the infant had left the nursery as an asymptomatic carrier. Newborn infants are quite likely to disseminate antibiotic resistant staphylococci which they may acquire from a hospital nursery. Infections developing among persons in contact with a young infant must be treated with the possibility of a resistant hospital staphylococcus in mind.

Anti-Bacterial Agents↗

Shigella infections; observations on recognition and management.

In review of 117 cases of Shigella enteritis observed in the isolation division of the San Francisco Hospital, it was noted that the most common symptoms were high fever, liquid and bloody stools, prostration, irritability and meningismus. The use of antibiotics did not significantly affect the course of the acute illness but resulted in earlier elimination of the Shigella organisms from the bowel. "Carriers" were found to be particularly resistant to antibiotic therapy. The disease is self-limited. In 30 cases the patients recovered with only symptomatic treatment. Management of fluid and electrolyte balance was often an important factor in supportive therapy.

Anti-Bacterial Agents↗