A group of 44 patients with various clinical forms of urinary tract infections received a single dose of 300 mg netilmicin i.m. The treatment was efficacious in all patients with infections which were negative in the antibody-coated bacteria test and not complicated by anatomic and/or functional abnormalities of the kidneys and urinary tract. After three weeks the recurrence rate was only 19%. Single-dose treatment also proved very effective against urinary tract infections in renal transplant patients whose infection is almost always located in the lower urinary tract. In contrast, the short-term results of treatment were much poorer in complicated infections and particularly in urinary tract infections which were positive in the anti-body-coated bacteria test; here, the recurrence rate was 67%.

Adult↗

PubMedDate not supplied

Urinary tract infection in renal transplant patients.

The incidence of urinary tract infections (UTI) in 299 renal graft transplantations (281 patients) was analyzed. UTI episodes were demonstrated in 185 grafts (62%), most frequently in the first month after transplantation. The infectious episodes were mostly recurrent. Persistent infection, detected in 11% of grafts, was associated with urologic complications in almost all cases. No significant correlation between the primary renal disease and the UTI rate was found, and there was no significant correlation between UTI and sex. In grafts with recurrent infectious episodes, vesicoureteral reflux was more common. No significant difference was observed in the residual bladder volume, irrespective of whether infection was present or not. The urine was infected by a number of hospital strains, particularly Klebsiella, Enterobacter and indole-positive Proteus strains. An overwhelming majority of UTI episodes (96%) were asymptomatic. Antibody-coated bacteria in urinary sediment were present in only 19% of infectious episodes. Clinically severe courses were observed in infections associated with urologic complications (especially urinary fistulae); these were difficult to treat and were often a source of sepsis and a risk factor in graft loss.

Adolescent↗

PubMedDate not supplied

[Advantages and disadvantages of periocular analgesia].

PURPOSE: To evaluate the advantages of local analgesia in the form of posterior periocular blockade in comparison with retrobulbar blockade, used till now. METHODS: During last 5 months 277 operations were performed in local analgesia, including 225 periocular and 52 retrobulbar. RESULTS: Periocular analgesia is sufficient in cataract and antiglaucomatous surgery. The following complications were observed: palpebral haematoma, subconjunctival infiltration and transient visual loss. CONCLUSION: In comparison with retrobulbar periocular technique of analgesia is less painful, easier to perform and safer in terms of perforation of the eyeball. Yet its inconvenience is that it must be done about 20 minutes before the surgery, connected with the delay effect of Bupivacaine.

Anesthesia, Local↗

PubMedDate not supplied

[Marshall syndrome--case report].

A girl, 15, with Marshall syndrome, was hospitalized for retinal tear and detachment of the left eye. The results of ophthalmological examination and applied eye surgery have been described. The authors confirm the essential phenotypical overlap of Marshall and Stickler syndromes. This suggest that they are caused by variable expression of a differently mutated gene, probably the type II procollagen gene (COL2A1), known to play a part in the etiology of Stickler syndrome. This justifies the usage, by some authors, of the common name of Marshall-Stickler syndrome.

Adolescent↗

PubMedDate not supplied

[Eyelashes in the eyeball after trauma].

The authors presented 3 cases of intraocular eyelashes, which entered into the eyeball during perforative injuries. Risk factors of such complications as well as clinical course and treatment are discussed. Reaction of the eye to this kind of foreign body was relatively weak. Difficulties in finding eyelashes during primary surgical procedure after trauma are emphasized.

Adult↗