By K. Bartmann (auth.), Professor Maxwell Finland M.D., Professor Dr. Walter Marget, Professor Dr. Karl Bartmann (eds.)
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Extra resources for Bacterial Infections: Changes in their Causative Agents Trends and Possible Basis
If we are going to talk about the frequency of infections with particular organisms or changes in the frequency over the years, we must refer to patients. WILLIAMS: 42 Discussion Individual patients may have 1, 2 or 3 cultures made from their wounds and each culture may grow 1, 2 or more different organisms. I think that we are very liable to be misled if we equate changes in the proportion of particular organisms in cultures to changes in the proportion of patients infected with different organisms.
Also Pseudomonas aeruginosa became a common agent in pyogenic lesions. The high rates of 1952 and 1958 were caused by hospital epidemics. Etiology of Pyogenio and Urinary Traot Infeotions in the Region of Cologne 33 Table 3 demonstrates another very serious fact. Since i952 not only the spectrum changed, that is, the gram-negative bacteria became more and more important, but the number of mixed infections increased markedly. During the years 1952 to 1954,21 % of the examined samples from pyogenic lesions were mixed infected; in 1969 it was 33% and in 1970 it was 26%.
It is therefore impossible to prove that one of the types found has been produced by a change in a type found previously. Table 6.