English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

On a case suspected to be cerebrospinal fever occurring in barracks, the remaining men in the barrack-room were isolated in their quarters, which, of course, included messing in their quarters until the arrival of the pathologist. The question as to who were to be regarded as immediate contacts and. who were to be swabbed rested entirely with that individual. This is only right because this type of work is in a special class by itself, especially when it has to be undertaken at a long distance from the laboratory. Very few persons outside a bacteriological laboratory realize the work entailed in getting the special media plates prepared, conveying them at a suitable temperature in pheir cumbersome boxes, together with other necessary apparatus, to the abode of the contacts; the time taken in the deliberate swabbing behind and beyond the soft palate and in the careful spreading of the material over the surface of the medium, and finally, the after-work in the laboratory in the differentiation of the meningococcus from the other numerous denizens of the nasopharynx. The technique required is so specialized that it cannot be carried out by subordinates. There is therefore a very definite limit to the amount of material that can be dealt with efficiently by one bacteriologist. As a general routine the remaining occupants of the barrack. room from which a case had been removed were considered the immediate contacts and as such were all swabbed. This is more satisfactory than the swabbing of the immediate adjacent contacts because the resulting cultures portray the pharyngeal state of the room as a whole, and afford evidence for or against defelltive hygienic conditions within the barrack room. Nasopharyngeal disinfection was postponed until the swabbing had taken place, after which the contacts gargled and insufflated a 1 in 5,000 dilution of potassium permanganate in normal saline solution thrice daily. The bacteriological results of the swabbing were notified in forty-eight hours, all the non-carriers being immediately liberated.

journal of the royal army medical corps

Investigations into Cases of Cerebrospinal Fever in the Northern Command of the Army during 1931, Concluding with a Plea for the Early Diagnosis of the Disease