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Biomedical subjects

W Döll

Publications and source records attributed to W Döll.

At least 19 recordsLinked to original sources

[The effect of the pipe material of the drinking water system on the frequency of Legionella in a hospital].

In this paper the prevalence of Legionella in water samples from cold and warm water supply systems made of copper, iron and polyethylene was determined. Water supplied by copper pipes revealed to be nearly free of Legionella (only 2% of probes positive), but water from iron (90%) or polyethylene pipes (65% probes positive) proved to be heavily contaminated. The 82 isolates were identified as Legionella pneumophila, one from serogroup 1, the others from serogroup 4.

Colony Count, Microbial

Animal model for chronic-abscess-forming peritonitis: histology and microbiology.

Clinical experience gives evidence of the increasing importance of chronic-abscess-forming peritonitis with a general physical impairment in spite of a well-controlled abdominal situation. The number of unsolved problems led us to develop a standardized and reproducible experimental animal model, using Wistar rats. We induced peritonitis by intraperitoneal injection of a mixture containing a capsulated strain of Bacteroides fragilis and DEV agar. The histologic changes in the parietal and visceral peritoneum, lymphnodes and liver were recorded in the course of the disease. The data largely correlate with those recorded in human peritonitis. Bacteriologic examinations gave evidence of bacteria passing through the intestinal wall into the abdomen. This is the first model for peritonitis which is defined by its histological and bacteriological course. It enables one to examine pathophysiological problems and the consequences of harm and stress for the course of the disease.

Abscess

[New therapeutic aspects in the treatment of diffuse peritonitis].

The diffuse peritonitis is a syndrome during the course of which biochemical reactive chains are activated according to a cascade principle. Most of these biochemical reactive chains develop within an acid environment. The solutions applied for abdominal lavage so far had neutral pH value. The present acute peritonitis experiment has shown that a peritoneal pH increase during lavage therapy stopped the septic reactive chain and thus improved significantly the rate of survival in the test animals. These experimental findings ar now subject for clinical examination.

Animals

[Perioperative prophylaxis in elective colorectal surgery].

The effects of perioperative antibiotic prophylaxis in elective colon surgery was evaluated in a prospective study on 100 patients. Bowel cleansing was done by orthograde lavage. The patients were divided into 5 groups receiving equally cefotaxime 3 x 2 g, lamoxactam 3 x 2 g, cefmenoxime 3 x 1 g, mezlocillin 3 x 5 g an piperacillin 3 x 4 g. Mucosa biopsies of the resected colon were taken for aerobic and anaerobic cultures. Further mucosal serum probes were frozen immediately for determination of tissue and serum levels of the antibiotics. Our results show that bacterial growth of the colon mucosa was significantly reduced. Anaerobes were identified in only 8%. The tissue concentrations exceeded the MIC-levels of the identified bowel organisms many times over. The clinical infection rate was 4%. All administered antibiotics can be recommended without reservation.

Aged

[Use of Nessler's reagent for recognition of lysine, ornithine, and arginine decomposition by gramnegative fermentative bacteria (author's transl)].

The reactions of lysine, ornithine and arginine decomposition are often difficult to read in Falkow's medium because either the decolorization of the indicator or the lack of sharp colour differences between positive and negative reactions. In such cases Nessler's reagent may be a useful aid. A volume of about 0.2 ml is added to the cultures after 4 days incubation through the mineral oil layer by means of a pipette. A positive reaction is indicated by an immediate white precipitation in case of lysine and ornithine decarboxylation, and a white or brownish precipitate which indicates arginine decomposition. A delayed opacity should be regarded as a negative reaction. Only unequivocal reactions should be considered. The specificity of the reactions was tested with pure substances of compounds which are formed by the decomposition of lysine, ornithine and arginine. Further studies of bacterial cultures in Falkow's medium and in a synthetic, amino acid containing medium without peptone gave identical results and showed that peptone derivates do not cause a false positive reaction with Nessler's reagent (Table 1). Comparative studies on 605 strains of Enterobacteriaceae and Vibrio in Falkow's medium with and without added Nessler's reagent gave corresponding results except some strains of Escherichia coli and Citrobacter freundii with different arginine reactions (Table 2). Strains of these species mostly decolorized the indicator thereby hindering the recognition of either a true positive or a true negative reaction. In these cases, however, the results obtained after addition of Nessler's reagent corresponded closely to the percentage of positive reactions cited in the literature.

Arginine