ABSTRACT
Cattle consuming only Kochia scoparia in a pasture southeastern Colorado became ill. Clinical signs were lacrimation, depression, anorexia, nystagmus, head pressing, and recumbency. Some cattle died acutely, with the only clinical signs being recumbency, nystagmus, and occasionally opisthotonos. Pathologic findings were pulmonary edema and congestion, hepatic necrosis and fibrosis, necrosis of proximal convoluted tubular epithelium in the kidneys, epidermal necrosis of lightly pigmented areas, and laminar cerebrocortical necrosis. When the cattle were removed from the pasture, the problem ceased.
Subject(s)
Cattle Diseases/etiology , Encephalomalacia/veterinary , Photosensitivity Disorders/veterinary , Plant Poisoning/veterinary , Animals , Brain/pathology , Cattle , Cattle Diseases/pathology , Encephalomalacia/etiology , Encephalomalacia/pathology , Liver/pathology , Photosensitivity Disorders/etiology , Photosensitivity Disorders/pathology , Plant Poisoning/complications , Plants, Toxic , Skin/pathologyABSTRACT
Over a 2-year period, 600 cultures of fluid in heated nebulizers in use by patients in the Peter Bent Brigham Hospital were performed. The most commonly isolated microorganisms were Pseudomonas and Alcaligenes species. Pseudomonas aeruginosa was never isolated. Three types of heated nebulizers were in use, and their contamination rate was significantly different (45 percent, 21 percent, and 8 percent, respectively; p less than 0.001). In the course of the study, the overall contamination rate decreased from 47 percent to 10 percent. This was mainly due to elmination of the type of heated nebulizer that was most prone to contamination. Five types of currently available large-reservoir nebulizers were inculated with various organisms and growth patterns studied. The various nebulizing equiment differed in its ability to inhibit or eliminate microbial growth; 1 of the heated nebulizers appeared to enhance growth of some of the inoculated bacteria.
Subject(s)
Bacteria/isolation & purification , Ventilators, Mechanical , Acinetobacter/isolation & purification , Alcaligenes/isolation & purification , Humidity , Pseudomonas/isolation & purification , Ventilators, Mechanical/instrumentationABSTRACT
Out of 353 heated nebulizers in actual use which were cultured in the Peter Bent Brigham Hospital, 118 (33%) were found to be contaminated. Gram-negative organisms predominated with rare micrococci and fungi. A slow-growing Vibrio was also recovered from 4 nebulizers. Heating of nebulizers above 46 C resulted in significant reduction of contamination. Types of heated nebulizers also figured significantly in the rate of contamination found. Carefully considered recommendations for the care and use of respiratory therapy equipment must be instituted and enforced. Techniques for terminal disinfection of equipment, followed by sterilization should result in the issue of sterile equipment for each patient. Rules for maintenance of equipment at the bedside are also needed.
