Contact dermatitis due to BCDMH in a hydrotherapy pool.
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Biomedical subjects
Publications and source records attributed to P T Penny.
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The need to minimize the threat of infection to patients and the high incidence of health problems in hydrotherapy pool workers, have led to recommendations especially tailored to the design and operation of the water and air treatment plant of hydrotherapy pools. Hitherto unpublished surveys are detailed which confirm that pathogenic species of Pseudomonas aeruginosa in pools (in which ears may be wetted) cause a high incidence of otitis externa, but rarely cause body rashes (pseudomonas folliculitis) unless there has also been prolonged skin wetting. In brominated pools contact dermatitis is common and can be distinguished clinically from pseudomonas folliculitis by the onset of a pruritic rash less than 12 hours after exposure to the pool and reactivation of the rash on re-exposure to the brominated pool.
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One hundred and fifty patients with spinal cord lesions due to diving accidents were admitted to Stoke Mandeville Hospital between 1944--77. Most of the patients were young men, 65 had dived into the sea, 48 into swimming pools, 21 into rivers and 3 into lakes. Injuries due to diving into the deep end of swimming pools appear to have been eliminated in Great Britain but injuries due to diving into the shallow end of swimming pools and into the sea continue to occur. The public need further education about the dangers of diving.
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