File:The chemist and druggist (electronic resource) (6293) (14804473743).jpg

Identifier: b19974760M6555 (find matches)
Title: The chemist and druggist (electronic resource)
Year: 1859 (1850s)
Authors: UBM
Subjects: Pharmacy Drug Industry
Publisher: London : Morgan Brothers UBM
Contributing Library: Wellcome Library
Digitizing Sponsor: Wellcome Library

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
nually in the UKalone1. Risk factors In children presenting with acuteotitis media, a number of factorshave been identified ascontributing to an increase in thechance of disease occurring. Forexample: • concurrent viral infection • day care attendance • atopy such as asthma oreczema • a short duration of breastfeeding • lower socio-economic class • passive smoking • being male • a history of chronic serous otitismedia Management strategies Given that in nearly one-third tohalf of all cases of acute otitismedia no bacteria can be isolatedfrom the middle ear, what optionsexist for the early management ofacute cases? Over the past 20-30years the debate has raged as towhether antibiotics should begiven in all coses and, if so, onwi grounds? If they are oniyus? n a limited number of cases,ago. what criteria should thoseselec>. for treatment be judged?Whai ars the risks and benefits ofeach approach? Who! happens ifantibiotics are withheld?Dr John Fry, a founding father oi
Text Appearing After Image:
Glue ear (otitis media) is a common problem in young children but rarely life threatening Table 1 Bacterial isolates from middle ear fluid in cases of acute otitis media in childhood from R Moxonl Number of children 2,337 Number of episodes 2,578 Pneumococcus 806 31.2% Haemophilus influenzae 578 22.4% Moraxella catarrhalis 175 6.8% Beta haemolytic streptococci - group A 46 1.8% Enteric bacteria 23 0.9% Staphylococcus aureus 19 0.7% Staphylococcus epidermis 10 0.4% Pseudomonas aeruginosa 7 0.3% Other 63 2.4% Nil isolates 851 33% research practice in primary care,was one of the first to question theestablished doctrine ot treatmentfor all with antibiotics and carriedout the first study to investigate theproblem in his own practice in19582. In 552 episodes of acuteotitis media, he found thatcomplete resolution of symptomsoccurred in 85 per cent of castswithout the use of antibiotics Inaddition, long-term follow-up didnot demonstrate any difference incomplications, such as recurrentattack

Note About Images