286 MODERN BIOLOGIC THERAPEUSIS 



bacteria are associated, such as the staphylo- 

 coccus and micrococcus catarrhalis, as shown by 

 Ross of Toronto (American Medicine, May, 

 1914) who has recently reviewed the subject 

 very comprehensively. When combined with 

 the proper local treatment, vaccine therapy may 

 be a valuable aid in treating this condition. A 

 combined vaccine containing 50 million pneu- 

 mococci, 25 million streptococci and 50 million 

 staphylococci as an initial dose may be given; 

 subsequent doses being administered at inter- 

 vals of five to seven days. 



OTITIS MEDIA 



Inoculation of vaccines in chronic suppurat- 

 ing processes of the ear and of the accessory 

 sinuses of the head has been extensively prac- 

 tised. Before vaccine treatment is instituted in 

 any case, the physician should make sure that 

 the persistence of the purulent discharge is not 

 due to mechanical causes, such as inefficient 

 drainage, retained secretion, or polypi. 



Acute otitis media is not only a very painful 

 disorder, but it often leads to deafness ; and, not 

 infrequently, the infection extends into the mas- 

 toid cells, resulting in mastoiditis. The impor- 



