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  • 1
    Electronic Resource
    Electronic Resource
    Colonization and infection in surgical intensive care patients —a prospective study (1987)
    Springer
    Intensive care medicine 13 (1987), S. 347-351 
    Details
    ISSN: 1432-1238
    Keywords: Intensive care unit ; Colonization ; Nosocomial infection
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Nosocomial infections are a major problem in intensive care patients. Thirty-nine patients, requiring intensive care for 5 days or more (mean 15.8 days) were prospectively investigated, to determine the relation between colonisation and nosocomial infection. Thrice weekly, cultures from the oropharynx, respiratory and digestive tract were obtained. Colonization with aerobic gram-negative microorganisms of the oropharynx, respiratory and digestive tract significantly increased during the stay in the Intensive Care Unit. In 29 patients (74%) 78 nosocomial infections were diagnosed. The most frequent nosocomial infections were pneumonia (26 patients, 66.6%), catheterrelated bacteraemia (11 patients, 28.2%), and wound infections (7 patients, 17.9%). In 59 instances (75.6%), colonization with the same potential pathogenic microorganism preceeded the nosocomial infection. The overall mortality was 25.6% (10 patients), bacteraemia with aerobic gram-negative microorganisms being the cause of death in 7 patients.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00255792
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    A selective medium for the detection and enumeration of clostridia in human faeces (1982)
    Springer
    Antonie van Leeuwenhoek 48 (1982), S. 205-206 
    Details
    ISSN: 1572-9699
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00405218
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Effect of iron on neonatal gut flora during the first week of life (1985)
    Springer
    European journal of clinical microbiology & infectious diseases 4 (1985), S. 14-18 
    Details
    ISSN: 1435-4373
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Faecal specimens from 23 infants during the first week of life were compared. Ten infants received breast milk, six received cow-milk preparation supplemented with iron (± 5 mg/l) and seven unfortified cow-milk preparation (iron concentration 〈 0.5 mg/l). Those on breast milk had low faecal pH, high counts of bifidobacteria and low counts ofEnterobacteriaceae, bacteroides and clostridia. Infants receiving fortified cow-milk preparation had a high faecal pH and high counts ofEnterobacteriaceae and putrefactive bacteria such as bacteroides and clostridia. Counts of bifidobacteria were also high. In those on unfortified cow-milk preparation a slow rise was observed in counts ofEnterobacteriaceae followed by an increase in counts and isolation frequency of bifidobacteria: the latter was still rising on day 7. It is concluded that a low iron content in standard preparations of cow's milk enhances resistance of the neonatal gut to colonization.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02148653
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Effect of iron on serotypes and haemagglutination patterns ofEscherichia coli in bottle-fed infants (1985)
    Springer
    European journal of clinical microbiology & infectious diseases 4 (1985), S. 570-574 
    Details
    ISSN: 1435-4373
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Strains ofEscherichia coli isolated from faecal specimens of ten infants receiving breast milk, six receiving a cow-milk preparation with iron supplement (5 mg/I) and six the preparation without iron supplement (〈 0.5 mg/I), were serotyped and examined for their haemagglutinating activity. TheEscherichia coli flora of breast-fed and bottle-fed infants consisted of one resident strain, accompanied by one or more transient strains. Changes in the serotype of theEscherichia coli flora and in the frequency of occurrence of strains associated with urinary tract infections were more often seen in bottle-fed than in breast-fed infants. In breast-fed and bottle-fed infants without iron supplement most strains ofEscherichia coli were non-haemagglutinating, while most strains in infants bottle-fed with iron supplement showed mannose-resistant haemagglutination. It is concluded that human milk favours the establishment of a stable non-pathogenicEscherichia coli flora and that a low iron content in standard cow-milk preparation favours colonization with non-adherent strains ofEscherichia coli.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02013397
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Effect of iron on neonatal gut flora during the first three months of life (1985)
    Springer
    European journal of clinical microbiology & infectious diseases 4 (1985), S. 273-278 
    Details
    ISSN: 1435-4373
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To study the effect of milk supplemented with iron on neonatal gut flora, faecal specimens of ten infants receiving breast milk, six receiving a cow-milk preparation supplemented with iron (5 mg/l) and seven receiving the same product without iron supplement (iron concentration 〈0.5 mg/l) were examined during the first 12 weeks of life. In breast-fed infants bifidobacteria was predominant, counts ofEscherichia coli were low, and other bacteria were rarely present. Infants receiving fortified cow-milk preparation had high counts ofEscherichia coli, counts and isolation frequency of bifidobacteria were low and other bacteria were frequently isolated. In those on unfortified cow-milk preparation isolation frequency ofEscherichia coli, bifidobacteria and bacteroides was comparable with that in breast-fed infants; however, counts ofEscherichia coli were high. It is concluded that the faecal flora of infants fed unfortified cow-milk preparation acquires characteristics of that found in breast-fed infants.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02013651
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    Paper (German National Licenses)
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