In my opinion the main function of a meeting of one of the specialized Sections, such as that of pathology and bacteriology, held in connexion with an Annual Meeting of the British Medical Association, is to act as a focus from which the laboratory worker may radiate knowledge of the recent developments in his special sphere, and particularly of those which are of practical importance to his professional colleagues, whether these be physicians, surgeons, or gynaecologists.My communication to-day is therefore designed to place at the disposal of the medical profession what I regard as the ouLtstanding discoveries of the past fifteen years concerning the pathogenic staphylococci. I have attempted not merely to predigest and to render both assimilable and palatable to those who are not specialists in the subject the enormous mass of literature which has grown up around the staphylococci, but also to assess the practical importance of some of the many discoveries made during this period.For several years the staphylococci were my chief bacteriological hobby, but for the past four years, while still interested in these bacteria, I have taken no active part in investigations concerning them. In attempting to prepare this paper I first consulted that indispensable publication the Quarterly Cumulative Index Medicus in order to survey the field, and I confess that I was appalled to find that in a very few years it had so much outgrown my knowledge of it.Almost the only good result of the great war was the impetus it gave to bacteriological research, but during the war staphylococci were not much studied. They never became a military problem as did the meningococcus, the gonococcus, the Treponema pallidum, the enteric and dysentery bacilli, and the anaerobic bacteria, presumably because staphylococcal infections were not noticeably more common among soldiers than among civilians. So the war left the staphylococci as it found them, and the immediately post-war textbook on bacteriology gave practically the same information about them as did its pre-war be appreciated by noting the number of entries relating to staphylococci in each of a series of years in the Quarterly Cumalulative Index Medicus. The number of references given were, in 1921, 8; in 1926, 43; in 1931, 95; and in 1936, 267. Before studying the development of our knowledge of the staphylococci since 1922, I must outline the field I hope to cover. I propose to limit the field to the organisms which in 1914 were usually called the Staphylococcus pyogenes aurelus and Staphylococcus pyogenes albus, but which are, I believe, better grouped together as Staphylococcus pyogenes. I do not propose to make further mention of the Staphylococcus pyogenes citreus, in the existence of which as a pathogen I have little belief; of the Staphylococcus epidernmidis, which may be either included in the species Staphylococcus pyogenes or disregarded as non-pathogenic; orof the Micrococcus tetragenus, frequently considered as a staphylococcus.
The ExotoxinsThe pre-war and immedia...