PubMed Health⌕ Search

Biomedical subjects

R Bennet

Publications and source records attributed to R Bennet.

32 records · Page 2Linked to original sources

Sleep problems in pre-school children.

Records were kept by one health visitor on the progress of nine children with sleeping difficulties. All the children were from socially disadvantaged families. The results reveal that the individual constructional treatment programmes which were applied by the health visitor were effective within a brief period and were not costly. Implications for health visiting practice are discussed and further issues about behavioural treatment and service delivery raised.

Child, Preschool↗

Development of the faecal anaerobic microflora after caesarean section and treatment with antibiotics in newborn infants.

Qualitative and quantitative anaerobic cultures were performed on faecal samples from 27 normal full-term newborn infants; from 32 preterm infants during intensive or intermediate care, not treated with antibiotics; and from 106 mostly preterm newborns, treated with antibiotics for various reasons. There were no major differences between the children in the first two groups. In these, Caesarean section led to a lower isolation rate of bifidobacteria and a much lower incidence of Bacteroides spp. During antibiotic treatment anaerobic bacteria were isolated from only 10% of the infants. After treatment, there was a slow regrowth of bifidobacteria, but Bacteroides spp. were not usually re-established. There was a colonisation of infants delivered by Caesarean section with new Lactobacillus spp. after treatment. In particular Bacteroides colonisation may be facilitated and more stable if it occurs during passage through the birth canal.

Anti-Bacterial Agents↗

Changes in the incidence and spectrum of neonatal septicemia during a fifteen-year period.

Over a period of 15 years the incidence of neonatal septicemia seen at St Göran's Children's Hospital has increased both per 1000 births and per 100 admitted neonates. The spectrum of causative organisms has changed towards more Gram-positive organisms and fewer Gram-negative organisms. In the initial antibiotic treatment an aminoglycoside and ampicillin derivate will still be needed to give full coverage.

Citrobacter↗

Suppression of aerobic and anaerobic faecal flora in newborns receiving parenteral gentamicin and ampicillin.

The immediate effect of parenteral antibiotic treatment (gentamicin and ampicillin) on the aerobic and anaerobic faecal flora of 14 infants with suspected or proven neonatal septicaemia was studied. Eight infants of similar gestational and postnatal age were studied for comparison. All control infants showed an abundant growth of both aerobic and anaerobic bacteria as early as the first 2 weeks of life. The treated infants generally had lower counts of aerobic and especially of anaerobic bacteria; in 10 of 16 cultures no anaerobes were isolated. In relation to aerobic strains E. coli dominated in untreated infants and Klebsiella pneumoniae in treated ones.

Ampicillin↗

Increasing incidence of neonatal septicemia: causative organism and predisposing risk factors.

The incidence of neonatal septicemia in the referral area of St. Göran's Children's Hospital in Stockholm has been studied during a ten-year period (1969-1978). An increase was noticed during the period 1974-1978 in comparison with the preceding five-year period. The incidence per 1 000 live births was 1.4 and 3.1, respectively. The incidence of osteoarthritis increased from 0.21 to 0.41 per 1 000. Mortality rate from neonatal septicemia remained unchanged. Gram-negative organisms as an etiologic factor seemed to be decreasing while staphylococcal infections have increased. Group B streptococcal infection occurred with the same frequency during the whole period. The low incidence of enteric organisms might be related to the common practice of feeding the babies with milk from their own mothers. Perinatal risk factors were equally common in both five-year periods. The observed increase of the prevalence of neonatal septicemia caused by Staphylococcus aureus may be explained by a higher rate of survival of highly susceptible low-birthweight infants and other sick neonates treated in the neonatal intensive care unit.

Humans↗

Transient, asymptomatic colonisation of newborn, Ethiopian infants by Salmonella.

We performed faecal cultures from 71 Addis Ababa infants. Salmonella spp. were found in 12 of 61 hospitalised infants. None had diarrhoea. Colonisation was most common (8/21) during the second week of life. There was no correlation to mode of delivery, breast feeding, type of ward or antibiotic treatment in this small sample.

Ethiopia↗

Fecal bacterial microflora of newborn infants during intensive care management and treatment with five antibiotic regimens.

Aerobic and anaerobic fecal bacterial flora of normal newborn infants, of preterm newborn infants without other health problems and of five groups of newborn infants treated with combinations of benzylpenicillin, cloxacillin, flucloxacillin, ampicillin, cefuroxime, cefoxitin and gentamicin were compared. Preterm birth alone was associated with growth of Klebsiella which could be attributed to a higher rate of cesarean section in preterm than in term infants. All antibiotic regimens led to a pronounced suppression of anaerobic flora and overgrowth of Klebsiella but not with other gram-negative aerobic bacteria. A slight colonization with Clostridium difficile and Clostridium perfringens occurred. Disturbances of the intestinal microbial ecology can be expected in newborn infants after preterm birth by cesarean section and/or treatment with antibiotics, including some penicillins that are usually regarded as relatively harmless in this respect in adults.

Anti-Bacterial Agents↗