Spontaneous Perforation of Oesophagus

作者：J. Scholefield · 发表于：BMJ · 年份：1949 · DOI：10.1136/bmj.1.4599.348 · 被引用次数：17 · 研究领域：Esophageal and GI Pathology

Experience of this and other epidemics has shown the frequent association of heavy nasal carriers with outbreaks of streptococcal tonsillitis in residential schools.It is impor- tant that nasal as well as throat swabs should be obtained from all cases, however mild; heavy nasal carriers should be treated until their swabs are negative.This is especially necessary with the single case or in the early stages of an outbreak before widespread contamination of the environ- ment and the build-up of a carrier rate has occurred.During the holidays every effort should be made to sterilize the noses of persistent carriers and to disinfect school premises.Summary The epidemiological and bacteriological findings in an out- break of streptococcal tonsillitis in a residential school are described.The outbreak extended over two terms, and 57 out of 340 boys were attacked.All the early cases were in the same house as the first case, a heavy nasal carrier.A nasal carrier was also associated with each of the three dormitories with the highest attack rates during the time fresh infections were occurring.In most cases, however, the dormitory did not appear to be of special impor- tance in the spread of disease, and the significance of this is discussed.The early detection and isolation of heavy nasal carriers before widespread dispersal of infection has occurred is emphasized.