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WITH SPECIAL REFERENCE TO THE USE OF " N. PANE'S SERO ANTIPNUMONICO " FOR PROPHYLAXIS AND TREATMENT OF PULMANRY COMPILCATIONS.
Since October I2th, 1918, seventy-six cases have been admitted; thirty-seven of the cases had double pneumonia and the rest had influenza.
Seven died.
One of the main characteristics of the present epidemic has been the escape from infection of the entire male staff, while the female staff suffered heavily. Of one hundred and four of the regular nursing staff, thirty-six developed
influenza and about twenty maids out of a total of about forty were affected. This, no doubt, was due to the fact that in the June epidemic all the male staff and only six of the nursing staff were afflicted, and it is to be assumed that they must have acquired immunity from their previous attack.
The question then arises how have the remaining sixty two nurses escaped infection ? The prophylactic measures adopted consisted of gargling and the administration of a vaccine, consisting of ten millions each of pneumococci
and streptococci, and fifteen millions each of Micrococcits catarrhalis and Bacillus influenzae. The injection was repeated a week later.
Of the vaccinated nurses, six developed reactions amounting to a mild form of influenza which lasted only for twenty four hours.
The conclusions:
l. That the incubation is from thirty to sixty hours, with an average of about forty-eight hours.
2. That immumity can be acquired from a previous attack or from the injection of a suitable vaccine. The duration of this immunity is certainly over three months.
3. The pulmonary complication of this influeniza takes the form of a rapidly spreading bronchopneumonia; this being so, no timee should be lost in commencing treatment with a view to preventing heart failure.
4. The tirnely injection of 5 c.cm. Paue's anti-pneumococci serum apparently retarded the development of pulmonary complications and therefore should be used as proplylactic measure.
5. The use of the serum for this fatal form of pneumonia apparently reduces the temperature and the duration of this disease and prevents the occurrence of other unfavourable complications.
Since October I2th, 1918, seventy-six cases have been admitted; thirty-seven of the cases had double pneumonia and the rest had influenza.
Seven died.
One of the main characteristics of the present epidemic has been the escape from infection of the entire male staff, while the female staff suffered heavily. Of one hundred and four of the regular nursing staff, thirty-six developed
influenza and about twenty maids out of a total of about forty were affected. This, no doubt, was due to the fact that in the June epidemic all the male staff and only six of the nursing staff were afflicted, and it is to be assumed that they must have acquired immunity from their previous attack.
The question then arises how have the remaining sixty two nurses escaped infection ? The prophylactic measures adopted consisted of gargling and the administration of a vaccine, consisting of ten millions each of pneumococci
and streptococci, and fifteen millions each of Micrococcits catarrhalis and Bacillus influenzae. The injection was repeated a week later.
Of the vaccinated nurses, six developed reactions amounting to a mild form of influenza which lasted only for twenty four hours.
The conclusions:
l. That the incubation is from thirty to sixty hours, with an average of about forty-eight hours.
2. That immumity can be acquired from a previous attack or from the injection of a suitable vaccine. The duration of this immunity is certainly over three months.
3. The pulmonary complication of this influeniza takes the form of a rapidly spreading bronchopneumonia; this being so, no timee should be lost in commencing treatment with a view to preventing heart failure.
4. The tirnely injection of 5 c.cm. Paue's anti-pneumococci serum apparently retarded the development of pulmonary complications and therefore should be used as proplylactic measure.
5. The use of the serum for this fatal form of pneumonia apparently reduces the temperature and the duration of this disease and prevents the occurrence of other unfavourable complications.
