Volume IO ‘Vumber 2 May, 1982 Reviews: Litemture son, Miss., studied a total of 1,173 patients who underwent elective bypass or prosthetic surgery for lower limb &hernia. They noted a re- lationship between the site of preoperative arteriography and postoperative groin wound infections. They found that most graft infections after aortofemoral bypass surgery de- veloped in the right groin. Furthermore, they noted that arteriographic procedures usually were performed via a right femoral approach. Apparently, this approach is most readily ac- cessible for right-handed persons carrying out the procedure. Of 39 wound complications in the inguinal incision site, 8 1% occurred on the side on which arteriography was performed and only 15% occurred on the opposite side. The authors also observed that the peak incidence of wound complications occurred when the interval between arteriography and surgery was about 4 days. It appeared that there was a lower incidence infection when surgery was conducted within a few hours after angiography or de- layed for at least 2 weeks. This paper suggests that this trauma of preoperative transfemoral arteriography predisposes to postoperative infection in the inguinal incision. Measles pneumonia in young adults. An analysis of f 06 cases DG Gremillion and GE Crawford: Am J Med 71539-542, 1981. Reprint requests: Dr. David H. Gremillion, WHMCISGHMMI, Lackland Air Force Base, San Antonio, TX 78236. This paper is a report of measles pneumonia during an epidemic of measles that occurred in Air Force recruits at Lackland Air Force Base from January 1976 to July 1979. The epidemic included 3,220 cases of clinical measles of which 106 cases were complicated by pneumonia. Since measles is traditionally a child- hood illness, this report of illness in young adults is interesting and unique. Of the 106 cases of pneumonia, no deaths occurred. However, the disease was severe, with high fever, toxic appearance, and prolonged hospitalization (mean 14.5 days). perinfection documented by transtracheal aspi- rations occurred in 35 of the 106 cases. The su- perinfection organisms included Naemophilus influenzae, Neisseria meningitidis, and Strepto- coccus pneumoniae. Other complications included bronchospasm, liver function abnor- malities, otitis media, and sinusitis. The authors found that measles pneumonia in adults has a clinically severe course with a generally benign outcome as compared with the serious outcome in the pediatric group. Diphtheria, tetanus, and pertussis. Guidelines for vaccine prophylaxi preventive measures Immunization Practices Advisory Committee, Centers for Dis- ease Control, Atlanta: Ann Intern Med 95723-728, 1981 (origi- nally published in Morbidity Mortality Weekly Rep 30:392-396, 401-7, 1981.) This paper is a revision of the 1977 statement from the Immunization Practices Advisory Com- mittee, Centers for Disease Control, on diphtheria, tetanus, and pertussis. The incidence, epidemiology, and characteristics of each of these diseases are reviewed. The preparations used for immunization, dosage, and adminis- tration schedule for primary and booster by age are discussed. A section on special consid- erations covers many of the unusual aspects of these diseases, such as prevention of neonatal tetanus and immunization for chiIdren recover- ing from pertussis. Side effects and adverse reactions are well delineated, from localized to severe reactions. There is also a section on pre- cautions and contraindications as ~7ell as a section for prophylaxis for contact cases of each of these three diseases. No major changes in immunization policy are recommended.

Diphtheria, tetanus, and pertussis. Guidelines for vaccine prophylaxis and other preventive measures

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Page 1: Diphtheria, tetanus, and pertussis. Guidelines for vaccine prophylaxis and other preventive measures

Volume IO ‘Vumber 2

May, 1982 Reviews: Litemture

son, Miss., studied a total of 1,173 patients who underwent elective bypass or prosthetic surgery for lower limb &hernia. They noted a re- lationship between the site of preoperative arteriography and postoperative groin wound infections. They found that most graft infections after aortofemoral bypass surgery de- veloped in the right groin. Furthermore, they noted that arteriographic procedures usually were performed via a right femoral approach. Apparently, this approach is most readily ac- cessible for right-handed persons carrying out the procedure.

Of 39 wound complications in the inguinal incision site, 8 1% occurred on the side on which arteriography was performed and only 15% occurred on the opposite side. The authors also observed that the peak incidence of wound complications occurred when the interval between arteriography and surgery was about 4 days. It appeared that there was a lower incidence infection when surgery was conducted within a few hours after angiography or de- layed for at least 2 weeks. This paper suggests that this trauma of preoperative transfemoral arteriography predisposes to postoperative infection in the inguinal incision.

Measles pneumonia in young adults. An analysis of f 06 cases DG Gremillion and GE Crawford: Am J Med 71539-542, 1981. Reprint requests: Dr. David H. Gremillion, WHMCISGHMMI, Lackland Air Force Base, San Antonio, TX 78236.

This paper is a report of measles pneumonia during an epidemic of measles that occurred in Air Force recruits at Lackland Air Force Base from January 1976 to July 1979. The epidemic included 3,220 cases of clinical measles of which 106 cases were complicated by pneumonia. Since measles is traditionally a child- hood illness, this report of illness in young adults is interesting and unique.

Of the 106 cases of pneumonia, no deaths occurred. However, the disease was severe, with high fever, toxic appearance, and prolonged hospitalization (mean 14.5 days). perinfection documented by transtracheal aspi- rations occurred in 35 of the 106 cases. The su- perinfection organisms included Naemophilus influenzae, Neisseria meningitidis, and Strepto- coccus pneumoniae. Other complications included bronchospasm, liver function abnor- malities, otitis media, and sinusitis. The authors found that measles pneumonia in adults has a clinically severe course with a generally benign outcome as compared with the serious outcome in the pediatric group.

Diphtheria, tetanus, and pertussis. Guidelines for vaccine prophylaxi preventive measures Immunization Practices Advisory Committee, Centers for Dis- ease Control, Atlanta: Ann Intern Med 95723-728, 1981 (origi- nally published in Morbidity Mortality Weekly Rep 30:392-396, 401-7, 1981.)

This paper is a revision of the 1977 statement from the Immunization Practices Advisory Com- mittee, Centers for Disease Control, on diphtheria, tetanus, and pertussis. The incidence, epidemiology, and characteristics of each of these diseases are reviewed. The preparations used for immunization, dosage, and adminis- tration schedule for primary and booster by age are discussed. A section on special consid- erations covers many of the unusual aspects of these diseases, such as prevention of neonatal tetanus and immunization for chiIdren recover- ing from pertussis. Side effects and adverse reactions are well delineated, from localized to severe reactions. There is also a section on pre- cautions and contraindications as ~7ell as a section for prophylaxis for contact cases of each of these three diseases. No major changes in immunization policy are recommended.