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Biomedical subjects

S A Holtsclaw

Publications and source records attributed to S A Holtsclaw.

5 recordsLinked to original sources

Enterococcal pneumonia. Occurrence in patients receiving broad-spectrum antibiotic regimens and enteral feeding.

Enterococcal pneumonia occurred as a superinfection in two patients who received broad-spectrum antibiotic therapy. Both patients were receiving enteral hyperalimentation by Dobb-Hoff tube. The organism was isolated from transtracheal aspirate in pure culture and gram-positive cocci were visible on gram-stained smear. Enterococcal pneumonia may occur in patients receiving cephalosporin-aminoglycoside therapy, and may be anticipated as a consequence of third-generation cephalosporin therapy.

Aged↗

Nontypeable Haemophilus influenzae in the elderly.

Nontypeable Haemophilus influenzae pneumonia occurred in 12 patients older than 60 years in a 15-month period. These patients represented approximately 11% of the 104 elderly patients with bacterial pneumonia in whom transtracheal aspiration was performed. Eighty-five percent of H influenzae isolates (12/14) recovered from elderly patients with pneumonia were nontypeable. Nontypeable H influenzae pneumonia occurred in the community, in nursing homes, and in the hospital. Patterns of both bilateral patchy bronchopneumonia and dense lobar consolidation were seen on chest roentgenograms.

Age Factors↗

Transtracheal aspiration in the severely ill elderly patient with bacterial pneumonia.

Transtracheal aspiration was performed in 32 elderly hypoxic patients with bacterial pneumonia. No morbidity or mortality was associated with the procedure. Gram stains of the transtracheal aspirate provided rapid, accurate delineation of the etiologic pneumonic agent, and were particularly valuable in indicating mixed bacterial infections. These included 5 cases of Streptococcus pneumoniae plus Gram-negative bacillary pneumonia. The safety and value of transtracheal aspiration in the severely ill elderly patient are discussed.

Humans↗