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Biomedical subjects

T Justesen

Publications and source records attributed to T Justesen.

At least 55 records · Page 3Linked to original sources
PubMed1983

Mycoplasma hominis septicaemia.

Mycoplasma hominis septicaemia occurred in a patient with a malignant lymphoma of lymphoblastic type in leukaemic phase. M hominis was isolated several times from blood cultures with antibody titres against the micro-organism rising to a high level despite severe immunosuppression. M hominis was detected in the blood after subculture of the blood culture bottles despite their macroscopically normal appearance. The patient's pyrexia resolved without treatment with antibiotics effective against M hominis.

Adult↗
PubMed1983

Experimental animal model of surgical wound infection applicable to antibiotic prophylaxis.

Wound infection, defined as accumulation of pus draining spontaneously or after opening of the wound, developed in 19 out of 22 guinea pigs (86%) after intraincisional contamination with 10(7) Escherichia coli plus 10(8) Bacteroides fragilis before wound closure. Antibiotic prophylaxis with gentamicin plus clindamycin significantly reduced the wound sepsis rate from 86% to 29% (p less than 0,001). Pus for bacteriological studies was available in all cases of wound infection but one, and culture always revealed both Escherichia coli and Bacteroides fragilis. The animal model presented employs widely accepted criteria for wound infection, and avoids culture of tissue homogenates.

Animals↗
PubMed1983

Fatal meningitis with group JK Corynebacterium in a leukopenic patient.

A case of fatal meningitis and septicemia with group JK Corynebacterium species in a leukopenic patient is reported. The strain was susceptible to rifampicin and vancomycin only. The finding of diphtheroids in bacteriological samples from immunocompromised patients should not be ignored. The literature regarding meningitis caused by diphtheroid bacilli is reviewed.

Adult↗
PubMed1983

Pediatric tube system for collection of uncontaminated jejunal juice.

A tube system for collection of uncontaminated jejunal juice in children is described. It consists of an outer tube, the distal end of which is closed with a membrane, and an inner aspiration tube. When the outer tube is positioned at the site of aspiration, the membrane is perforated by applying air pressure through the outer tube. The tube was tested in 72 Danish children. With only one intubation having to be repeated, aspiration was achieved in all the children (95% confidence limits, 92.60-99.97%). The median intubation time was 10 min (range, 2-35 min). Mean time for aspiration of 1 ml of jejunal juice varied from 1 to 30 min (median, 5 min). The site of aspiration in the jejunum--expressed as the position of the tip of the inner tube--was from 0 to 6 cm distal to the ligament of Treitz (median, 3 cm). There were no complications.

Adolescent↗
PubMed1983

Cefotaxime versus ampicillin, methicillin and netilmicin in combination for treatment of febrile episodes in patients with haematologic malignancy.

A prospective, randomized trial comparing treatment of 61 febrile episodes with cefotaxime (CTX) versus a combination of ampicillin, methicillin, and netilmicin (AMN) was carried out in 58 patients with leukaemia or malignant lymphoma, of whom 28 had a granulocyte count of less than or equal to 500 X 10(6)/l. The overall response frequency was 63% for CTX against 49% for the AMN combination, the latter figure being lower than generally reported in the literature. The difference was not statistically significant. In 21 episodes pathogens were isolated, 16 of them from the blood. All isolated bacteria but one, a strain of Bacteroides fragilis, were fully sensitive to at least one of the three antibiotics in the combination, and all but one, a strain of Listeria monocytogenes, were fully sensitive to CTX. These results indicate that CTX seems to be a promising alternative as monotherapy for empiric treatment of febrile episodes in patients with haematologic malignancies. Further investigations will, however, be required before completely rational choices between mono and combination therapy of febrile episodes in immunosuppressed patients can be made.

Adolescent↗
PubMed1983

The survival of anaerobic bacteria at 4 degrees C and 22 degrees C on swabs in three transport systems. Statistical evaluation by application of a variance component model.

The survival of anaerobic bacteria on swabs in three transport systems at 4 degrees C and 22 degrees C was evaluated. The transport systems were a charcoal-impregnated cotton swab in modified Stuart's transport medium (MS), a plain cotton swab in a dry aerobic tube (DA) and a plain cotton swab in an aerobic agar tube (AA). The test strains were Bacteroides fragilis, B. melaninogenicus ss. intermedius, Fusobacterium necrophorum, Peptostreptococcus anaerobius, Eubacterium lentum and Clostridium ramosum. Inoculated swabs were kept at the described conditions for time periods ranging from 22 1/2 min through 32 d, after which surviving organisms were recovered quantitatively. Results were described by the survival rate, defined as the percentage of organisms initially present, that had survived storage for 24 h. The survival rate was uniformly higher at 4 degrees C than at 22 degrees C. In Stuart's transport medium at 4 degrees C the survival rate was 81.9% compared to 4.3% in dry aerobic tube at 4 degrees C. At 22 degrees C the survival rate in dry aerobic tube and aerobic agar tube was 0.003% or less whereas in Stuart's transport medium growth occurred with B. fragilis, E. lentum and C. ramosum.

Anaerobiosis↗
PubMed1983

The recovery of anaerobic bacteria from swabs in three transport systems. Statistical evaluation by application of a variance component model.

The recovery of six anaerobic species from swabs in three transport systems was quantitatively evaluated. The test strains were Bacteroides fragilis, B. melaninogenicus ss. intermedius, Fusobacterium necrophorum, Peptostreptococcus anaerobius, Eubacterium lentum, and Clostridium ramosum. The transport systems were a charcoal-impregnated cotton swab in modified Stuart's transport medium (MS), or a plain cotton swab in either a dry aerobic tube (DA) or an aerobic agar tube (AA). Swabs were charged with a known number of organisms of the test strain and inserted in the appropriate transport systems. Immediately hereafter the swabs were transferred to glass tubes with reduced buffer. After vigorous shaking, aliquots from the buffer were seeded onto blood agar plates, and the number of colony forming units (CFU) was counted after incubation. The number of CFUs from independent replications had a variation that was too large to be accounted for by the Poisson distribution. The probability of recovery (POR) was defined as the number of CFU recovered from a swab as a percentage of the original inoculum. The logarithms of the POR values were analyzed with a variance component model. This showed that estimated values of POR were significantly higher in DA (44%) than in AA (23%), while the value for MS (33%) did not differ significantly from those for AA or DA. It is concluded that in MS, friction between swab and medium does not contribute significantly to bacterial recovery loss, as compared to AA and DA.

Anaerobiosis↗
PubMed1983

Comparison of an open and a closed tube system for collection of jejunal juice.

When jejunal juice is obtained by means of open pernasal tubes, the risk of the aspirates being contaminated is presumably high. The present study compares jejunal aspirates obtained from an open and from a closed tube system. Ten patients suspected of having abnormal jejunal flora and five healthy human volunteers were investigated. The pH values of aspirates obtained from the open tubes were significantly lower than the values registered in aspirates from the closed tube system, with a median difference of 0.70 (p less than 0.02). No differences between the two types of aspirate were registered with regard to total number of bacteria, number of bacterial species, lipase, total protein, total amylase or its fractions of pancreatic and salivary isoamylases. For the investigation of pH-sensitive substances in jejunal juice, a closed tube system is therefore recommended, whereas the use of such a device does not seem necessary for the study of bacterial microflora and pancreatic enzymes.

Adult↗
PubMed1983

Tube for sampling of uncontaminated small-bowel juice.

A tube system for the collection of uncontaminated small-bowel juice is described. It consists of an outer guide tube, its distal end being closed by a membrane, and an inner aspiration tube. When the outer tube is placed at the desired site of aspiration, the membrane is perforated by advancing the sterile inner tube. The device was tested in 90 healthy human volunteers. The procedure was completely or partly unsuccessful in 9 cases (95% confidence limits, 4.7-18.0). Median intubation time was 12 min; range, 5-14 min. The time used for aspiration of 5 ml of intestinal juice varied from 1 to 30 min; median, 10 min. The site of aspiration in jejunum distal to the ligament of Treitz varied from 0 to 14 cm; median, 3 cm. No complications of the procedure were registered.

Adolescent↗
PubMed1982

Metronidazole prophylaxis in abdominal hysterectomy. A double-blind controlled trial.

The use of prophylactic metronidazole in electric total abdominal hysterectomy was evaluated in a prospective, double-blind randomized study. The rate of complicated wound healing was 18% in the metronidazole group and 13% in the placebo group. The bacteriologically confirmed wound infection rate was 3.9% in both the metronidazole and the placebo group. Only one of the infections was anaerobic and it appeared in the placebo group. No pelvic infections were observed in either of the groups and hospital stay was the same in both. Peroperative investigations of the vaginal flora showed significantly fewer anaerobic strains in the metronidazole group than in the placebo group.

Clinical Trials as Topic↗
PubMed1982

Metronidazole treatment of bypass-enteropathy after jejunoileal shunt-operation for obesity.

In 5 patients with bypass-enteropathy following jejunoileal shunt-operation for morbid obesity, bacterial overgrowth was demonstrated in the functioning small bowel. The symptoms were effectively relieved during treatment with metronidazole in the 3 patients, who completed the treatment. Bacterial cultures revealed no anaerobic growth during 3 of 4 periods of treatment. Anaerobic overgrowth in the small bowel is probably the cause of bypass-enteropathy following jejunoileal shunt-operation.

Adult↗
PubMed1981

Wound sepsis after elective cholecystectomy. Restriction of prophylactic antibiotics to risk groups.

This prospective study of elective cholecystectomy investigated the frequency and type of bacteria in gallbladder bile at operation, the factors predicting the presence of bacteria in bile, and the relationship between bacteria in bile and subsequent wound sepsis. In 148 consecutive cases 23% of bile cultures were positive. The overall wound infection rate was 15%, but 91% of all wound infections occurred in patients with positive bile cultures. Eighty-five per cent of all positive bile cultures and 86% of all wound infections occurred in 37% of the patients, characterized by age over 60 years and/or a history of previous attacks of acute cholecystitis. We suggest that in elective cholecystectomy prophylactic antibiotics should be restricted to this group of patients to limit the use of antibiotics.

Age Factors↗
PubMed1980

Effect of temperature, humidity and exposure to oxygen on the survival of anaerobic bacteria.

The relative effect of humidity, temperature and exposure to oxygen on the survival of 11 strains of Bacteriodes spp., Fusobacterium necrophorum, Eubacterium lentum, Clostridium ramosum, Peptococcus asaccharolyticus and Peptostreptococcus anaerobius was evaluated. Suspensions of the test strains were applied to membrane filters either in empty sterile petri dishes or on plates of non-nutrient agar to provide dry or moist conditions. The filters were stored aerobically or anaerobically in an atmosphere containing 10% CO2 at either 4 degrees C or 35 degrees C. After holding periods of 0.375-384 h, the filters were transferred to nutrient plates inside an anaerobic glove box. After incubation the growth on the filters was compared with that on control filters that had not been stored. Survival was better at 4 degrees C than at 35 degrees C. For the gram-negative organisms, survival was better under moist than under dry conditions, whereas for gram-positive organisms this finding was sometimes reversed. The results indicate that, generally, anaerobic bacteria kept under aerobic conditions survive best under moist conditions at 4 degrees C.

Anaerobiosis↗
PubMed1979

Anaerobic, non-clostridial fasciitis and myonecrosis of the abdominal wall. Pure anaerobic infection originating from neglected inflammation of an urachal remnant.

A pure anaerobic infection of the abdominal wall of a 40-year-old man is described. The infection originated from an urachal remnant. Seven different bacterial strains were isolated. Even though no clostridia were involved, the infection caused extensive necrosis of the abdominal wall including both fascia and muscles.

Abdominal Muscles↗
PubMed1979

Anaerobic infection of the liver and biliary tract in experimental common duct occlusion.

The pathogenicity of single anaerobic, single aerobic, and mixed anaerobic and aerobic bacterial inocula was studied in 3 groups of 12 rabbits with biliary tract obstruction. B. fragilis, ss. fragilis and E. coli serotype 01:K1:H7 were used. The investigation was made 7 days after bacterial inoculation and included bacteriological studies of the liver and bile as well as studies of liver function and morphology of the liver and biliary tract. Inoculation of 10(5)--10(6) E. coli did not cause biliary tract infection, liver abscesses or death. Inoculation of 10(9) B. fragilis caused biliary tract infection in 83 per cent and liver abscesses in 17 per cent of the animals inoculated, without any mortality. Combined inoculation with B. fragilis and E. coli in reduced doses significantly increased mortality (42 per cent) and frequency of liver abscesses in surviving animals (86 per cent). All abscesses, however, yielded pure culture of B. fragilis only. 84 per cent of the animals inoculated with B. fragilis alone or with B. fragilis in combination with E. coli developed biliary tract infection with B. fragilis, the bile yielding from 10(7)--)0(9) B. fragilis per ml, gall bladder bile yielding significantly higher bacterial counts than common duct bile. E. coli was never recovered from bile in surviving animals but from both bile and blood in animals not surviving the experimental period.

Alanine Transaminase↗
PubMed1979

The prophylaxis of septic complications in colo-rectal surgery. A controlled trial of metronidazole and oxytetracycline.

The prophylactic effect of systemic metronidazole on infectious complications following elective colo-rectal surgery was compared with the prophylactic effect of oxytetracycline. Allocation to receive metronidazole or oxytetracycline was random. A total of 137 patients were accepted for the trial, 67 receiving metronidazole and 70 oxytetracycline. The numbers of abdominal wound infections, intra-abdominal infections, fever and deaths were few in both groups, and the differences statistically insignificant. Clinically significant side effects of the antimicrobial agents were not observed. The influence of the antimicrobial agents on colonic flora was also studied. No significant difference in the effect on colonic anaerobic flora was demonstrated, whereas the aerobic flora was significantly suppressed by oxytetracycline. It is concluded that systemic metronidazole, although acting solely on the anaerobic flora, is as effective as oxytetracycline in preventing postoperative infectious complications following elective colo-rectal surgery. The prophylactic use of metronidazole is advocated.

Administration, Oral↗