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October 26, 1918


Author Affiliations


From the John McCormick Institute for Infectious Diseases.

JAMA. 1918;71(17):1405-1407. doi:10.1001/jama.1918.26020430027009i

When the Durand Hospital of the John McCormick Institute for Infectious Diseases was opened, rigid aseptic technic was adopted and the nurses were specially instructed in measures calculated to protect them from infections. From March 12, 1913, to Nov. 1, 1914, nine out of sixty-nine nurses, or 13 per cent., acquired clinical diphtheria. From this time on, all nurses giving a positive Schick test were immunized with diphtheria antitoxin. This practically eliminated active diphtheria; but from Nov. 1, 1914, to June 1, 1916, weekly throat cultures disclosed ten diphtheria bacillus carriers among forty-three nurses, or 23.25 per cent.

Up to June 1, 1916, nine cases of scarlet fever occurred among 112 nurses who were on duty, or in 8 per cent.

As we were unable to explain so many instances of infection through faulty technic, an effort was made to eliminate a possible factor of danger that had previously been

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