BACTERIOLOGY IN A NUTSHELL. 



Aseptic 

 Preparation 

 of Field. 



Care in 

 Administration. 



Treatment in 

 Bone and 

 Joint Disease, 

 Etc. 



alcohol and ether, as well as by thorough me- 

 chanical cleansing. Not a single abscess oi 

 infection was noted after any of the injections. 

 The site of injection was protected with sterile 

 cotton for twenty-four hours and the injection 

 was made with a sterile syringe having a glass 

 or metal piston." The dose must be carefully 

 chosen in each individual case. The object 

 Dr. Hammer has in view is just to avoid a reac- 

 tion. His initial dose is from i-i,ooo m. g 

 (miligrams) to i-ioo m. g. He increases the 

 dose very gradually. 



Dr. Charles R. Kerley (Journal of the 

 American Medical, Association, 1909 Vol. II, 

 page 1 179), in an article on vaccine and serum 

 therapy in children, states, in regard to the dose 

 of tuberculin, that the dose of crude tuberculin 

 administered for the purpose of immunization 

 in a chronic tuberculosis lesion, should be very 

 small — 1-5,000 of a miligram gradually in- 

 creased to 1-2,000, 1-1,000 or more. The inoc- 

 ulations should be repeated not oftener than 

 every ten days at first and the temperature 

 taken every two hours. Should a rise of tem- 

 perature occur, the dose is too large and must 

 be reduced at the next injection. In selected 

 cases. Dr. Kerley has had good results from 

 tuberculin treatment in bone and joint disease 

 and in adenitis. Some advocate the "opsonic 



ISO 



