Hospital Treatment by Doctors Outside the Service

Abstract

REPORTS OF SOCIETIES MEDICAL JRNAL the simple apparatus in common use quite a large amount of penicillin could be introduced into the blood. As for the different types of penicillin, this same mould under different circumstances would make at least four different types. These were called (1), (2), (3), and (4), but in America (f), (g), (x), and (k), and from recent reports (k) was not very good for syphilis. Nearly all the work here had been done with penicillin (2). , Prof. CHRISTIE, in reply to questions addressed to him, said that the criteria he used for assessing apparent cure were: negative blood culture, normal temperature after penicillin was stopped, and general fitness of the patient. The only sequelae observed were, first of all, the persistence of red cells in the urine, which might go on for many months, and, again for several months, a somewhat elevated B.S.R., although this usually fell quite rapidly. Asked about cases of known heart disease in which tonsillectomy or dental extraction was necessary, he said that he recommended a prophylactic course of penicillin, starting possibly twenty-four hours before the operation and continuing for about three days. He did not think it could be said dogmatically what dosage should be given, but 500,000 units a day was generally assumed. As for the relative convenience of intramuscular drip and intramuscular injections, about half the patients preferred the one and half the other. There was no evidence that the results of treatment with these two methods of administration were different.