BACTERUL INOCULATION 279 



performed, and this applies particularly to dispensary 

 patients. 



Vulvovaginitis, — In children inoculations of a 

 polyvalent gonococcus bacterin, in the acute stage, 

 have resulted brilliantly, causing the early disappear- 

 ance of gonococci and shortening the usual course of 

 treatment by months. Five million gonococci consti- 

 tute the average dose. From three to a dozen inocula- 

 tions are required. Benefit is also observed from autog- 

 enous bacterins in the chronic form of the disease 

 due to other pyogenic bacteria, as the Streptococcus, 

 Staphylococcus, Pneumococcus and Colon bacillus. 

 Vaginitis in adults, in the experience of the authors, 

 has been absolutely uninfluenced by bacterial inocula- 

 tions. 



Cervicitis, Endometritis, Metritis and Salpingitis, 

 — The following bacteria have been isolated: 31, 

 gonorrhoece, B, coli, Pneumococcus, Streptococcus, 

 Staphylococcus and Tubercle bacillus. This category 

 of diseases needs further investigation respecting the 

 value of bacterins, since the studies to date have been 

 inconclusive. In general the results have been very 

 indifferent, scarcely warranting the procedure. This 

 is certainly true in the case of cervicitis. In the treat- 

 ment of salpingitis a number of remarkable results 

 have been reported. An essential to success lies in the 



