ABSTRACT
A postal questionnaire sent to all consultant geriatricians in Great Britain and Northern Ireland determined that less than one consultant in five offered influenza vaccine to patients in continuing-care wards. The main reasons given were that vaccine was inappropriate or unnecessary. This information prompted a prospective study of viral illness during the winter months of 1986-87 in eight continuing-care wards with a population of 196 patients. There were 70 episodes of influenza-like illness (ILI), but only 17 viruses were isolated, the commonest being rhinovirus (seven patients). As most cases of ILI in this population were caused by viruses other than influenza, the reluctance of most geriatricians to give influenza vaccine to continuing-care patients appears justified.
Subject(s)
Geriatrics , Influenza Vaccines , Influenza, Human/prevention & control , Vaccination/statistics & numerical data , Aged , Attitude of Health Personnel , Hospital Units , Humans , Influenza, Human/microbiology , Long-Term Care , Northern Ireland , Prospective Studies , Respiratory Tract Infections/microbiology , Seasons , Statistics as Topic , Surveys and Questionnaires , United KingdomABSTRACT
Seventy one patients underwent bone marrow transplantation for aplastic anaemia or haematological malignancy, 39 as allografts and 32 as autografts. All patients who were seronegative to cytomegalovirus received blood product support exclusively from seronegative community blood donors; seropositive patients received unscreened products. In no patients was there any attempt to reduce cytomegalovirus (CMV) infection by giving prophylaxis with immunoglobulin, and granulocyte transfusions were not given. The incidence of cytomegalovirus infection in the seronegative recipients (22 allograft, 15 autograft) was 0%; in the seropositive recipients 16 (63%) in allografts and 17 (18%) in autografts. These results suggest that provision of exclusively seronegative blood products is an important contribution for seronegative transplant recipients, but make little impact in autologous transplantation where the incidence of infection is low.
Subject(s)
Blood Transfusion , Bone Marrow Transplantation , Cytomegalovirus Infections/prevention & control , Postoperative Complications/prevention & control , Adolescent , Adult , Antibodies, Viral/analysis , Cytomegalovirus/immunology , Graft vs Host Disease/prevention & control , Humans , Middle Aged , Transplantation, HomologousABSTRACT
A new yeast species Pichia norvegensis Leask et Yarrow is described as the perfect state of Candida norvegensis (Dietrichson) van Uden et Farinha ex van Uden et Buckley. Strains of this species were isolated on 3 occasions from human vaginas. This species differs from other Pichia species that assimilate glucose but not galactose, sucrose, maltose, lactose, D-mannitol and D-glucitol by assimilating cellobiose.
