The significance of secondary infection in a skin hospital.
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Biomedical subjects
Publications and source records attributed to W C Noble.
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The micrococcal flora of the skin of 382 children and 378 adults have been investigated using a scheme derived from the work of Baird-Parker (1963). The predominant groups are Staphylococcus type 2 and Micrococcus type 2. Some differences in the carriage at different sites have been found: in general the nose, axillae, groin, and toe webs have a similar flora but this differs a little from other, glabrous skin sites.
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The carriage rates for C. albicans were found to vary for different groups of people but hospital patients appeared to have higher rates than the non-hospital population. Candida albicans was recovered more frequently from the bedding of patients than from that of school children. The variable concentration of this fungus in the air and on the bedding suggested that its presence might be related to the presence of individual patients.
Staphylococcus aureus was found to be present on the hair of about 10% of people having no hospital contact and on that of about 50% of patients with skin diseases. The ;resident' carrier rate was higher in patients with eczema and psoriasis than in others and appeared to be related to carriage of the organisms on the skin. Much of the ;transient' carriage could be attributed to contamination from other sources in the ward.
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The air of three hospital wards was examined frequently for staphylococci for a period of nearly four years using slit samplers. ;Broadcasts' of staphylococci into the air were observed with the air count rising well above the mean of 0.2 staphylococcal particle per cubic foot and these broadcasts often appeared to be due to single patients. Eight of the 3,675 patients admitted to the wards possessed an ability to disperse staphylococci into the air of the wards which was markedly greater than normal. The actual dispersal about the ward appeared to be mediated by the bedclothes, for, when these were disturbed, large numbers of staphylococci were disseminated into the air.
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