{"title":"[Serratia marcescens infections in a hospital: typing of isolated strains].","authors":"M Yde","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ninety six strains of Serratia marcescens were isolated from one hospital. Strains originated from various sources: pressure transducer head (14), arterial catheter tip (4), blood (33), sputum (12), bronchial aspirate (10), urine (10), wound (8), miscellaneous (5). Most of the blood strains were isolated on the intensive care unit (ICU). Contaminated pressure transducer heads seemed to be involved in a nosocomial epidemic. All strains were characterized by serotyping, antibiotic resistance pattern, plasmid profile typing and biotyping. It was demonstrated that the epidemic strain was of serotype O14H4, biotype A5, carrying one plasmid coding for the resistance against gentamicin, streptomycin and sulfamethoxazole. The epidemic type was encountered with the majority of blood isolates (26/33) and with all the transducer head isolates from the ICU (11/11). Isolates from catheter tips (2/4), bronchial aspirate (3/10) and urine (1/10) belonged also to the epidemic type. Within the non-epidemic strains, the most prevalent serotypes were O14H12 (39%) and O14H4 (36%), corresponding well with the distribution of serotypes from a national survey study: O14H12 (36%), O14H4 (24%). Two biotypes were predominant within the non-epidemic strains: A5 (46%) and A8b (32%). Plasmid carriage was observed with 46% of the non-epidemic strains. A plasmid, similar to the epidemic plasmid, was detected in 7 strains, differentiating from the epidemic strain by the serotype and/or the biotype.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 5-6","pages":"189-210"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13840345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The problem of the prevention of selenium deficiency in Belgium].","authors":"J Lederer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In Belgium the dietary intake of selenium is moderately insufficient. It is in the neighbourhood of the minimum of the recommended allowance. The administration of selenium supplements to healthy Belgian adults favorably modifies biological indices: plasma Se, glutathione peroxidase activity of plasma and thrombocytes. A supplement of 100 micrograms/d is adequate, in salt or in cereals grown with enriched fertilizer.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 7-8","pages":"291-311"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13631584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H Vandenbroele, R Keymeulen, B Nielandt, J Theuven, D Calle
{"title":"[The Flemish Information System Drugfree Centers].","authors":"H Vandenbroele, R Keymeulen, B Nielandt, J Theuven, D Calle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Flemish Information System for Drugfree Therapeutic Programs (VLIS-DC) is a computerised information system designed for residential treatment programs for drug addicts. The input is data from the therapeutic centers and the output is information for management, research and treatment. The system was installed in 1988. The final report for this first year has not yet been published, except for some preliminary results presented here. VLIS-DC generates information from clients admitted during 1988 in 8 departments in 6 centers for the whole Flemish region. Data of 623 admissions in these centers can be analysed. 411 were drug addicts (opiates, cocaine, amphetamines, cannabis, hallucinogens, solvents), 119 alcohol addicts and 75 addicted to medication. Of the total, 478 were daily users. The VLIS-DC is well functioning because all centers take part. Within a short time, more detailed information will become available from these centers.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"142-5"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13751917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Second national symposium on public health. Health for all in the year 2000].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"1-188"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13752064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Caries prevalence and dental hygiene in a group of school-age children].","authors":"J P Van Nieuwenhuysen, W D'Hoore, J Vreven","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The results of a cross-sectional study of the prevalence of caries in a sample of 3,237 children aged 5 to 21 are described in relation to some objectives of the WHO program. The prevalence of caries is high in the sample: 1. 31.5% of the children aged 5 to 6 are free of caries (according to the WHO objectives, 50% of the children aged 5 to 6 should have no caries), 2. the mean number of decayed, missing and filled permanent teeth (DMF/T index) in children aged 11 to 12 is 6.6 (The DMF/T should be less than or equal to 3). The frequency of toothbrushing is distributed as follows: 23% of the children brush their teeth once a week or less, 46% brush their teeth once a day, and 31% brush their teeth twice a day or more. The purpose and the frequency of the consultations at the dentist's office have been examined: 15% of the children never consult the dentist, 44% consult the dentist in case of toothache, and 41% go to the dentist's office for screening or control. Only 3.2% of the children use regularly and appropriately fluoride tablets. Since the variance of the results is large, it is difficult to distinguish explaining variables or determinants. However, the data indicate that social groups show differences in DMF indices as well as in the behaviors associated with dental hygiene and prevention.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"38-41"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13752601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L Berghmans, B Swennen, A Dachy, R Reginster, P Thieffry, P Drumaux
{"title":"[The Communauté française' eradication plan for measles, mumps and rubella].","authors":"L Berghmans, B Swennen, A Dachy, R Reginster, P Thieffry, P Drumaux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The combined vaccine against measles, mumps and rubella provides an efficient tool for the elimination of these three diseases in a community. In the French Community of Belgium the MMR vaccine is commercially available since 1984 and was officially included in the immunization schedule in 1985. The present coverage rate is estimated at 60% of the children under 24 month. To improve the situation, the \"Conseil Consultatif Communautaire de Prévention pour la Santé\" of the French Community of Belgium has proposed a programme of MMR immunization promotion based on a coordinated mobilization of the various structures involved i.e. MCH organization, school medicine, general practitioners, pediatricians, Faculties of medicine and Health Administration. The programme has been adopted by the political authority and has started on February 1st 1989.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"8-10"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13753166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Physician, state and public health: the campaign against diphtheria in Belgium (1894-1914)].","authors":"K Velle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>On 100 deaths caused by diphtheria in Belgium at the end to the 19th century, 90% had not reached the age of 6. In the beginning of the nineties an antitoxin had been developed against the so called \"terror of mothers\". Very slowly, the production of sera took place, first of all in Germany, after 1894 in our country too. The battle against diphtheria became the subject of parliamentary debates (in the years 1894-1895 and 1900) and of several comments and articles in the Belgian medical press. The authorities followed the evolution of morbidity closely, commissions were charged with the study of the effectiveness of sera and of the foundation, if necessary, of an institution for serotherapy. As a result of an intensive campaign of serotherapy, the decrease of mortality rates due to diphtheria was sensational after 1910.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 7-8","pages":"312-24"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13631585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Genital human papillomavirus infections in certain groups of women in the Antwerp region].","authors":"H Engels, C Braet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Different groups of women, living in the Antwerp region, are examined for the occurrence of genital human papillomavirus (HPV)-infections. To detect these infections, physical examination and DNA-DNA-hybridisation technics (Southern Blotting with the probes of HPV 6, 11, 16 and 18) have been used. Part of these women are also examined colposcopically. The following groups of women have been included in the study: --women who present for cervical cancer screening with their general practitioner after a communal campaign. (HPV detection by physical examination, cytology and hybridisation); --women who present for cervical cancer screening with the mobile team after a communal campaign. (HPV detection by physical and colposcopical examination, by cytology and by hybridisation); --women who are routinely screened for cervical cancer in a gynecological private practice, situated in the same region. (HPV detection by physical examination and hybridisation). Prevalences of HPV infections in these groups will be presented and the detection methods used will be discussed.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"63-6"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13702417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Anthropometric factors in the prevention of osteoporosis].","authors":"S Rozenberg, H Ham, A Peretz, J P Praet, C Robyn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Osteoporosis, an important health problem, essentially concerns postmenopausal women since women have a lower peak bone mass than men when they reach adulthood and since the menopause is associated with an accelerated bone loss. We retrospectively analysed the bone measurements of 318 women, age less than 50. The bone mineral contents and densities of the mid- and distal radius (BMC m-rad, BMD m-rad, BMC d-rad, BMD d-rad) and of the lumbar L2-L4 vertebra (BMC L2-L4, BMD L2-L4) were measured using single and dual photon absorptiometer, respectively. The relations between age, height, weight, body mass index and the bone measurements were studied using multiple regression analyses. The anthropometric factors were accepted as first factors in the equations. R2 were respectively 17%, 17%, 28% for BMC m-rad, BMC d-rad, BMC L2-L4 and 7%, 5%, 8% for BMD m-rad, BMD d-rad, BMD L2-L4. These data suggest that anthropometric factors have an important influence on the different bone measurements. They also draw attention on the importance of preventive measures to achieve and to maintain an optimal bone reserve in premenopausal women.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"56-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13753160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Prevention of analgetics nephropathy].","authors":"M M Elseviers, M E De Broe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Abuse of analgesics is associated with the development of renal damage which can lead to end stage renal failure. Moreover, an increased incidence of urothelial cancer is reported in abusers of analgesics. In Belgium, AN still remains a serious problem with a prevalence of 18% in dialysis patients. However AN is a preventable disease but in Belgium no adequate measurements were taken for prevention. The results of our study showed that AN is caused by the abuse of analgesic mixtures. Apart from the analgesic components, most mixtures contained caffeine. This component is considered as the principal causative agent in creating a psychic dependence to analgesics. Initially phenacetin was implicated as the nephrotoxic culprit. In recent years, however, it has become increasingly clear that phenacetin is unlikely to be the primary cause of AN. Moreover, abuse of phenacetin-containing analgesics does not exist any longer because the product is disappeared from the Belgian market. In view of the actual knowledge concerning AN, we will recommend that analgesic mixtures be put under prescription, limiting over-the-counter medication to single analgesics, in order to eliminate the occurrence of AN in Belgium.</p>","PeriodicalId":77672,"journal":{"name":"Archives belges = Belgisch archief","volume":"47 1-4","pages":"77-80"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13753165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}