Ugeskrift for laeger
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Ugeskrift for laeger · Dec 1997
[Aminoglycoside treatment II: Dosage regimes at the departments of internal medicine in Denmark].
The aim of this study was to get a general view of the habitual practice of the usage of aminoglycosides in Danish medical departments, regarding choice of drug, dosage regimen and monitoring of drug-related toxicity, as this antimicrobial agent is commonly used in Danish hospitals against severe infections in spite of the potential for nephro- and ototoxicity. The survey, taking place in 1991 and in 1994, showed that gentamicin and netfilmicin were preferred as first choice with an equal frequency in university and county hospital department, whereas in departments in small hospitals gentamicin was preferred twice as often. ⋯ Monitoring of serum levels of the drug was performed on all treated patients in fifty-two of the seventy-nine departments questioned. Most of the departments also monitored the kidney function.
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Ugeskrift for laeger · Dec 1997
Case Reports[Gluteal hematoma infected with multiresistant Salmonella typhi].
Salmonella infections usually presents with diarrhea and fever. Localized salmonella infection with abscess formation is an uncommon but significant manifestation of salmonellosis. ⋯ There was no nosocomial infections related to this case and treatment was effective. It is important to be aware of unusual manifestations of salmonella infections, which may occur without any previous history of exposure.
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Ugeskrift for laeger · Dec 1997
[Attitudes of parents towards treatment of extremely premature infants].
The aim of this study was to evaluate the attitude among parents of extremely premature newborn children towards fixed lower limits for treatment and towards parent involvement in decisions about the treatment of their child. All parents with extremely premature newborns admitted from January 1, 1992 to June 30, 1994 to the Neonatal Department, Hvidovre Hospital, Copenhagen, Denmark, were asked to fill in questionnaires. The study population comprised the parents of 58 children. ⋯ This attitude contrasted with the recommendation in 1994 from The Danish Council of Ethics. Half of the parents expressed a wish to be involved in the decisions about the treatment of their newborn child. This attitude agreed with the recommendation from the Danish Council of Ethics.
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Thirteen patients were exposed to accidental zinc chloride inhalation during an army exercise. Smoke bombs were released in open air. The exposure was modest ranging from "taking a few inhalations" to "5-10 minutes in a house with smoke drifting in through unshuttered windows". ⋯ No respiratory symptoms developed within an eight week observation period. However, a gradual decline in pulmonary CO diffusion capacity (to 85% (76-99 of initial capacity) was observed within the first four weeks. It is concluded that a very modest inhalation of zinc chloride smoke may induce prolonged impairment of pulmonary function.