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STUDY OF STAPHYLOCOCCIC INFECTIONS OCCURRING ON A SURGICAL SERVICE

Marie L. Koch, Ph.D.; Derward Lepley, M.D.; C. Morrison Schroeder, M.D.; Miles B. Smith, M.D.
JAMA. 1959;169(2):99. doi:10.1001/jama.1959.03000190001001.
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Two 60-bed general surgery wards were compared as to the incidence of staphylococcic infections. In one ward, only routine precautions were taken against the spread of infections. The other ward was treated as nearly as possible like an isolation unit, with special bedding, dressing carts, and other facilities. Of 74 patients who acquired staphylococcic hospital infections during the one-year period, 41 were in the latter ward, and the semi-isolation techniques that had been used were found completely inadequate for the control of staphylococcic infections on surgical wards. Valuable data were obtained by culturing the organisms and classifying them according to coagulase reaction, antibiotic resistance, and bacteriophage type. The withdrawal of a given antibiotic for eight months was not sufficient to affect the antibiotic-resistance of prevailing strains, probably because the drugs used in any given hospital were but a fraction of those used in the community from which the patients came.

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