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February 4, 1939

MANAGEMENT OF 256 CASES OF INFECTION OF THE IMMATURE VAGINA: PRACTICAL DEDUCTIONS, WITH A STUDY OF THE USE OF SULFANILAMIDE IN TREATMENT

Author Affiliations

PORTLAND, ORE.

From the Department of Urology, the University of Oregon Medical School.

JAMA. 1939;112(5):411-417. doi:10.1001/jama.1939.02800050025006
Abstract

Our material comprises a study of 256 patients over a period of nine years in private and clinic practice. An additional group of 261 cases is reported from a national questionnaire relative to the use of sulfanilamide.

DIAGNOSTIC METHODS  Smears by Gram stain have been studied in all cases. Occasional disagreements with regard to diagnosis have been finally settled on the basis of cultures. We have learned to rely very strongly on the Douglas chocolate agar method and are at present using it as a routine.Criteria for cure have remained as formerly outlined1 —exacting in the extreme. Such a program has, we believe, been instrumental in our satisfactory final figure for cure and our low figure for late recurrence. We prefer to regard recurrence and even possible reinfection as relapse, which of course increases our figure for average time before cure.

METHODS OF TREATMENT 

Distention with Silver Nitrate 

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